PHYLLIS R PENKETHMAN M.S., CCC-SLP
NPI 1083493381
Speech-Language Pathologist in Wall Township, NJ

Active since September 26, 2023
3349 HWY 138, WALL TOWNSHIP, NJ 07719(732) 280-6050 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis R Penkethman M.s., Ccc-slp NPPES

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

PHYLLIS R PENKETHMAN M.S., CCC-SLP (NPI 1083493381) is an individual speech-language pathologist provider in Wall Township, New Jersey, licensed in New Jersey (YS001121) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1083493381
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NamePHYLLIS R PENKETHMANCredential: M.S., CCC-SLP
Location Address3349 HWY 138Wall Township, NJ 07719-9671
Mailing AddressPo Box 213Manasquan, NJ 08736-0213 · (908) 773-0752
Sole ProprietorYes
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1083493381 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
License Licensed in NJ · YS001121
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.
3349 HWY 138, Wall Township, NJ 07719

Other Names 1

Former Name (1)Phyllis M Rinehart M.s., Ccc-slp

Other Providers at the Same Location NPPES 6

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

Speech-Language Pathologist
3349 HWY 138
WALL TOWNSHIP, NJ 07719
Speech-Language Pathologist
3349 HWY 138
WALL TOWNSHIP, NJ 07719
Occupational Therapist
3349 HWY 138, BLDG. B. SUTIE A.
WALL TOWNSHIP, NJ 07719
Obstetrics & Gynecology (Gynecologic Oncology)
3349 HWY 138, BLDG B SUITE F
WALL TOWNSHIP, NJ 07719
Obstetrics & Gynecology (Gynecologic Oncology)
3349 HWY 138, BLDG B SUITE F
WALL TOWNSHIP, NJ 07719
Speech-Language Pathologist
3349 HWY 138
WALL TOWNSHIP, NJ 07719

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 Phyllis Penkethman's NPI number?

The NPI number for Phyllis Penkethman is 1083493381. It was assigned to this individual provider in the NPPES registry on September 26, 2023. The provider is also known as Phyllis M Rinehart M.S., Ccc-Slp.

Where is Phyllis Penkethman located?

Phyllis Penkethman practices at 3349 Hwy 138, Wall Township, NJ 07719. The listed phone number is (732) 280-6050.

What is Phyllis Penkethman's specialty?

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

When was this NPI record last updated?

The NPPES record for Phyllis Penkethman was last updated on September 26, 2023. 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.