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Korie Dianne Pettee , SLP

Speech-Language Pathologist β€’ Victor, NY

Active NPI 1407091085 Individual Practitioner Female Practitioner
Practice location in NPPES

590 Fishers Station Dr Ste 130
Victor, NY 145649744

Call 5859247207 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

590 Fishers Station Dr Ste 130

Victor, NY 145649744

Telephone 5859247207
Organization at the Same NPPES Address or Phone
Western New York Speech-Language Pathology, Ot, And Pt Consultants Facility NPI 1386812550

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Geneseo, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Victor and New York

133 active clinicians are listed under Speech-Language Pathologist with a practice address in Victor, NY (24,885 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Victor

0% of these 133 clinicians have the CMS telehealth indicator.

0% of these 133 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NY 014087-1

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

1 College Cir, Suny Geneseo- Holcomb Building

Geneseo, NY 144541401

Phone: 5852455688

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Kristyn Radford

Physical Therapist

NPI 1548788649
Alecea Towner , OTR, L

Occupational Therapist

NPI 1659973550

Occupational Therapist Registered, L

Dr. Maria Wojnowski , DPT

Physical Therapist

NPI 1992435978

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 05, 2024

Registered at 590 FISHERS STATION DR STE 130, VICTOR, NY 145649744 (Tel: 5859247207)

πŸ“
Updated Business Mailing Address February 05, 2024

Registered at 590 FISHERS STATION DR STE 130, VICTOR, NY 145649744 (Tel: 5859247207)

βœ…
NPI Profile Active December 10, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 10, 2008

Registered at 1 COLLEGE CIR, SUNY GENESEO- HOLCOMB BUILDING, GENESEO, NY 144541401 (Tel: 5852455688)

πŸ“
Business Mailing Address (Initial Record) December 10, 2008

Registered at 18 MAIN ST, MOUNT MORRIS, NY 145101036 (Tel: 5856582828)

πŸ‘€
Provider Name / Credentials (Initial Record) December 10, 2008

Recorded as KORIE PETTEE, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2008

Speech-Language Pathologist (license number reported to NPPES: NY 014087-1)

🟒
Initial NPI Registration & Enumeration December 10, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407091085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2008
Last Update: February 05, 2024
Sole Proprietor: No

Mailing Address

590 Fishers Station Dr Ste 130

Victor, NY 145649744

Phone: 5859247207

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.