FUNCTIONAL COGNITIVE REHAB
NPI 1275250508
Speech-Language Pathologist in San Diego, CA

Active since October 26, 2022
4079 GOVERNOR DR # 5072, SAN DIEGO, CA 92122(209) 585-6299 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, Mar 10, 2023, Oct 26, 2022 (3 updates tracked since 2022).

About Functional Cognitive Rehab NPPES

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

FUNCTIONAL COGNITIVE REHAB (NPI 1275250508) is a healthcare organization registered as a speech-language pathologist in San Diego, California and active in the NPI registry since October 2022. The organization lists Tyler King, Owner, as its authorized official.

NPPES Registry Identity

NPI1275250508
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameKING SPEECH PATHOLOGY SERVICES, INC.
Location Address4079 GOVERNOR DR # 5072San Diego, CA 92122-2522
Mailing Address4079 Governor Dr # 5072San Diego, CA 92122-2522
Organization SubpartNo
Authorized OfficialTyler KingOwner · (209) 585-6299
Enumeration DateOctober 26, 2022
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
NPI 1275250508 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.
4079 GOVERNOR DR # 5072, San Diego, CA 92122

Other Names 1

Doing Business AsFunctional Cognitive Rehab

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
4079 GOVERNOR DR # 5072
SAN DIEGO, CA 92122

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 King Speech Pathology Services, Inc.'s NPI number?

The NPI number for King Speech Pathology Services, Inc. is 1275250508. It was assigned to this organization in the NPPES registry on October 26, 2022. The provider is doing business as Functional Cognitive Rehab.

Where is King Speech Pathology Services, Inc. located?

King Speech Pathology Services, Inc. is located at 4079 Governor Dr # 5072, San Diego, CA 92122. The listed phone number is (209) 585-6299.

What is King Speech Pathology Services, Inc.'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 King Speech Pathology Services, Inc. was last updated on June 17, 2024. 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.