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PAMELA JOHNSON DESIMONE M.S. CCC-SLP
NPI 1760758247
Speech-Language Pathologist in Groton, CT

Active since March 28, 2012
1145 POQUONNOCK RD, GROTON, CT 06340(860) 446-3134 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pamela Johnson Desimone M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA JOHNSON DESIMONE M.S. CCC-SLP (NPI 1760758247) is an individual speech-language pathologist provider in Groton, Connecticut, licensed in Connecticut (004011) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1760758247
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NamePAMELA JOHNSON DESIMONECredential: M.S. CCC-SLP
Location Address1145 POQUONNOCK RDGroton, CT 06340-4620
Mailing Address1145 Poquonnock RdGroton, CT 06340-4620
Phone(860) 446-3134
Sole ProprietorNo
Enumeration DateMarch 28, 2012
✔ NPI 1760758247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CT · 004011
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1145 POQUONNOCK RD, Groton, CT 06340
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Johnson Desimone M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Pamela Desimone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inspire Physical Therapy And Wellness, LLC
12 mi
Physical Therapist
19 MISQUAMICUT HILLS RD
Westerly, RI 02891
  • Reassigned Medicare billing, Rhode Island enrollment
  • 17 clinicians in this Medicare group
NPI 1548847221 (401) 378-1802

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LAW OTR/L
Occupational Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-9960
ATTILA LETAI COTA
Occupational Therapy Assistant
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-9960
MARIA EULALIA MOLINA ARCILLA R.P.T.
Physical Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-9960
COMPLETE CARE AT GROTON REGENCY LLC
Skilled Nursing Facility
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-9960
1145 POQUONNOCK ROAD OPERATIONS LLC
Skilled Nursing Facility
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-9960
MR. MICHAEL MONGCOPA VERGARA PT
Physical Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-0289
MRS. JANE KATHRYN NOVAK PTA
Physical Therapy Assistant
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-3134
ROBERTO VERGARA RPT
Physical Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-9960

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 Pamela Desimone's NPI number?

The NPI number for Pamela Desimone is 1760758247. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Pamela Desimone located?

Pamela Desimone practices at 1145 Poquonnock Rd, Groton, CT 06340. The listed phone number is (860) 446-3134.

What is Pamela Desimone's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Pamela Desimone enrolled in Medicare?

Yes. Pamela Desimone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Desimone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Desimone reassigns Medicare benefits to Inspire Physical Therapy And Wellness, LLC (Westerly, RI). 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 Pamela Desimone'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 Pamela Desimone was last updated on March 28, 2012. 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.