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KELLY I RODENBACH MS CCC-SLP
NPI 1063932333
Speech-Language Pathologist in Lakewood, NJ

Active since June 27, 2017Accepts Medicare Assignment
25 FORD AVE, LAKEWOOD, NJ 08701(215) 550-1360 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly I Rodenbach Ms Ccc-slp NPPES

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

KELLY I RODENBACH MS CCC-SLP (NPI 1063932333) is an individual speech-language pathologist provider in Lakewood, New Jersey and active in the NPI registry since June 2017. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1063932333
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY I RODENBACHCredential: MS CCC-SLP
Location Address25 FORD AVELakewood, NJ 08701-5660
Mailing Address25 Ford AveLakewood, NJ 08701-5660
Phone(215) 550-1360
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2017
✔ NPI 1063932333 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
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.
25 FORD AVE, Lakewood, NJ 08701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly I Rodenbach Ms Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719419159
PECOS Enrollment IDI20241010001376

Other Providers at the Same Location NPPES 4

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

ABIGAIL BAILEY OTD, OTR/L
Occupational Therapist
25 FORD AVE
LAKEWOOD, NJ 08701
Ocean County (215) 550-1360
MISS HALEY QUINN BURNS
Occupational Therapist (Pediatrics)
25 FORD AVE
LAKEWOOD, NJ 08701
Ocean County (215) 550-1360
DYNAMICARE, LLC
Early Intervention Provider Agency
25 FORD AVE
LAKEWOOD, NJ 08701
Ocean County (215) 550-1360
KAREN OCHOA BORJA
Physical Therapist
25 FORD AVE
LAKEWOOD, NJ 08701
Ocean County (215) 550-1360

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 Kelly Rodenbach's NPI number?

The NPI number for Kelly Rodenbach is 1063932333. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Kelly Rodenbach located?

Kelly Rodenbach practices at 25 Ford Ave, Lakewood, NJ 08701. The listed phone number is (215) 550-1360.

What is Kelly Rodenbach's specialty?

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

Is Kelly Rodenbach enrolled in Medicare?

Yes. Kelly Rodenbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Rodenbach was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.