THERESA BLUMENTHAL CCC-SLP
NPI 1720357916
Speech-Language Pathologist in E. Setauket, NY
About Theresa Blumenthal Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BLUMENTHAL CCC-SLP (NPI 1720357916) is an individual speech-language pathologist provider in E. Setauket, New York, licensed in New York (018705) and active in the NPI registry since December 2011.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Blumenthal Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Blumenthal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brookville, NY 11548
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Blumenthal's NPI number?
The NPI number for Theresa Blumenthal is 1720357916. It was assigned to this individual provider in the NPPES registry on December 19, 2011. The provider is also known as Theresa Cassano.
Where is Theresa Blumenthal located?
Theresa Blumenthal practices at 380 Old Town Road, E. Setauket, NY 11733. The listed phone number is (631) 730-4900.
What is Theresa Blumenthal's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Theresa Blumenthal enrolled in Medicare?
Yes. Theresa Blumenthal is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Blumenthal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Blumenthal reassigns Medicare benefits to Long Island University (Brookville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Blumenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Blumenthal was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theresa Blumenthal, CCC-SLP · NPI 1720357916
Speech-Language Pathologist provider in E. Setauket, New York. Individual provider, active in the CMS NPPES registry since December 19, 2011.
## Identity
- **NPI:** 1720357916 (Entity type: Individual)
- **Enumerated:** December 19, 2011
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 018705 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 380 OLD TOWN ROAD, E. Setauket, NY 11733-3499
- **Phone:** (631) 730-4900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Long Island University (NPI 1235385170, Brookville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1720357916) · Data from the CMS NPPES public registry.