JOHNSON CITY SPEECH AND LANGUAGE THERAPY
NPI 1770232811
Speech-Language Pathologist in Johnson City, TN
About Johnson City Speech And Language Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNSON CITY SPEECH AND LANGUAGE THERAPY (NPI 1770232811) is a healthcare organization registered as a speech-language pathologist in Johnson City, Tennessee and active in the NPI registry since March 2022. The organization lists Dori Pennucci, Speech-language Pathologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnson City Speech And Language Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Johnson City Speech And Language Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Johnson City Speech And Language Therapy's NPI number?
The NPI number for Johnson City Speech And Language Therapy is 1770232811. It was assigned to this organization in the NPPES registry on March 23, 2022.
Where is Johnson City Speech And Language Therapy located?
Johnson City Speech And Language Therapy is located at 2700 S Roan St Ste 425, Johnson City, TN 37601. The listed phone number is (423) 212-3853.
What is Johnson City Speech And Language Therapy's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Johnson City Speech And Language Therapy enrolled in Medicare?
Yes. Johnson City Speech And Language Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Johnson City Speech And Language Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Johnson City Speech And Language Therapy. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Johnson City Speech And Language Therapy was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Johnson City Speech And Language Therapy · NPI 1770232811
Speech-Language Pathologist organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1770232811 (Entity type: Organization)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Dori Pennucci, SPEECH-LANGUAGE PATHOLOGIST
## Practice location
- **Address:** 2700 S ROAN ST STE 425, Johnson City, TN 37601-7587
- **Phone:** (423) 212-3853
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Qualified Speech Language Pathologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2024
- **Other identifiers:** Medicaid Q079383 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1770232811) · Data from the CMS NPPES public registry.