Johnson City Speech and Language Therapy
NPI 1770232811 · Speech-Language Pathologist · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnson City Speech and Language Therapy is a Speech-Language Pathologist organization in Johnson City, TN (NPI 1770232811).
Provider details
- NPI number
- 1770232811
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Dori Pennucci, Speech-Language Pathologist(423) 212-3853
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Frequently asked questions
- What is Johnson City Speech and Language Therapy's NPI number?
- Johnson City Speech and Language Therapy's National Provider Identifier (NPI) is 1770232811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnson City Speech and Language Therapy?
- Johnson City Speech and Language Therapy is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Johnson City Speech and Language Therapy located?
- Johnson City Speech and Language Therapy's practice location on file with NPPES is 2700 S Roan St Ste 425, Johnson City, TN 37601-7587.
- What is Johnson City Speech and Language Therapy's phone number?
- The practice phone number listed in the NPPES registry for Johnson City Speech and Language Therapy is (423) 212-3853.
- Does Johnson City Speech and Language Therapy accept Medicare?
- Johnson City Speech and Language Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Johnson City Speech and Language Therapy?
- The authorized official listed on Johnson City Speech and Language Therapy's NPPES record is Dori Pennucci, Speech-Language Pathologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnson City Speech and Language Therapy's NPI active?
- Yes — Johnson City Speech and Language Therapy's NPI (1770232811) is active in the NPPES registry as of the last update on 2024-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.