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Active NPI 1073255618 Individual Practitioner Female Practitioner

Petra Massis , CCC-SLP

Speech-Language Pathologist • Herndon, VA

Professional Overview & Biography Verified Profile Summary

Petra Massis, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Herndon, VA. Practice services are available at 13582 BIG BOULDER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13582 Big Boulder Rd

Herndon, VA 201715000

Telephone 5713292658
Associated Practice Facility / Clinic
🏢 Massis Speech & Language Pllc Facility NPI 1457227670

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Herndon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Herndon, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA A60879991

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 03, 2023

Registered at 13582 BIG BOULDER RD, HERNDON, VA 201715000 (Tel: 5713292658)

👤
Provider Name / Credentials Updated August 03, 2023

Recorded as PETRA MASSIS, CCC-SLP

NPI Profile Active April 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2022

Registered at 46531 HARRY BYRD HWY, STERLING, VA 201643555 (Tel: 7038345800)

📍
Updated Business Mailing Address April 13, 2022

Registered at 13582 BIG BOULDER RD, HERNDON, VA 201715000 (Tel: 5713292658)

👤
Provider Name / Credentials Updated April 13, 2022

Recorded as PETRA MASSIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2022

Speech-Language Pathologist (License #A60879991 in VA)

🟢
Initial NPI Registration & Enumeration April 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073255618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2022
Last Update: August 03, 2023
Sole Proprietor: Yes

Mailing Address

13582 Big Boulder Rd

Herndon, VA 201715000

Phone: 5713292658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.