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KYLEEN JOHNSON SLP-CF
NPI 1093237620
Speech-Language Pathologist in Salem, OR

Active since July 14, 2017
3445 BOONE RD SE, SALEM, OR 97317(503) 576-3000 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyleen Johnson Slp-cf NPPES

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

KYLEEN JOHNSON SLP-CF (NPI 1093237620) is an individual speech-language pathologist provider in Salem, Oregon and active in the NPI registry since July 2017. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1093237620
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKYLEEN JOHNSONCredential: SLP-CF
Location Address3445 BOONE RD SESalem, OR 97317-9336
Mailing Address2441 Se Ash StPortland, OR 97214-1730
Phone(503) 576-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2017
✔ NPI 1093237620 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.
3445 BOONE RD SE, Salem, OR 97317
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyleen Johnson Slp-cf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385118173
PECOS Enrollment IDI20260702001075

Medicare Billing Reassignment

Medicare enrollment records show Kyleen Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Rehabilitation Associates LLC
45 mi
Clinic/Center
4640 S MACADAM AVE STE 90
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 23 clinicians in this Medicare group
NPI 1790760908 (503) 292-0765

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

AMBER KHAN MS SLP
Speech-Language Pathologist
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
ZACHARY HALE
Physical Therapy Assistant
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
JESSICA FOUTS COTA
Occupational Therapy Assistant
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
EMILY WHEATLEY
Occupational Therapist
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
MRS. VIRGINIA ROSE EDWARDS GRAY PT, DPT
Physical Therapist
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
DR. CHRISTINE CHONG OTD, OTR/L
Occupational Therapist
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
SOUTH SALEM REHABILITATION, LLC
Skilled Nursing Facility
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000
MRS. KRISTEL J GABRIEL COTA
Occupational Therapy Assistant
3445 BOONE RD SE
SALEM, OR 97317
Marion County (503) 576-3000

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 Kyleen Johnson's NPI number?

The NPI number for Kyleen Johnson is 1093237620. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Kyleen Johnson located?

Kyleen Johnson practices at 3445 Boone Rd SE, Salem, OR 97317. The listed phone number is (503) 576-3000.

What is Kyleen Johnson's specialty?

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

Is Kyleen Johnson enrolled in Medicare?

Yes. Kyleen Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyleen Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyleen Johnson reassigns Medicare benefits to Progressive Rehabilitation Associates LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyleen Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyleen Johnson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kyleen Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyleen Johnson was last updated on July 14, 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.