KATHRYN-ANNE PERTAB MS
NPI 1306611256
Speech-Language Pathologist in American Fork, UT

Active since November 21, 2023Accepts Medicare Assignment
170 N 1100 E, AMERICAN FORK, UT 84003(801) 855-4360 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathryn-anne Pertab Ms NPPES

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

KATHRYN-ANNE PERTAB MS (NPI 1306611256) is an individual speech-language pathologist provider in American Fork, Utah, licensed in Utah (13691498-4104) and active in the NPI registry since November 2023. She maintains a secondary practice location in Orem and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306611256
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHRYN-ANNE PERTABCredential: MS
Location Address170 N 1100 EAmerican Fork, UT 84003-2961
Mailing Address1198 W 1080 NPleasant Grove, UT 84062-8970 · (385) 243-8466
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2023
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1306611256 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 UT · 13691498-4104
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.
170 N 1100 E, American Fork, UT 84003

Other Names 1

Other Name (5)Kathryn-anne Simmons Ms

Secondary Practice Location 1

Location 1527 W 400 N Ste 6Orem, UT 84057-1951 · Phone (801) 714-3366

Accepted Insurance

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

Kathryn-anne Pertab Ms 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 ID2769911874
PECOS Enrollment IDI20250117001894

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.

Nurse Anesthetist, Certified Registered
170 N 1100 E
AMERICAN FORK, UT 84003
Audiologist
170 N 1100 E
AMERICAN FORK, UT 84003
Nurse Anesthetist, Certified Registered
170 N 1100 E
AMERICAN FORK, UT 84003
Lactation Consultant, Non-RN
170 N 1100 E, LACTATION OFFICE
AMERICAN FORK, UT 84003
Nurse Practitioner (Family)
170 N 1100 E
AMERICAN FORK, UT 84003
Physical Therapist
170 N 1100 E
AMERICAN FORK, UT 84003
Radiology (Diagnostic Ultrasound)
170 N 1100 E
AMERICAN FORK, UT 84003
Internal Medicine
170 N 1100 E
AMERICAN FORK, UT 84003

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 Kathryn-anne Pertab's NPI number?

The NPI number for Kathryn-anne Pertab is 1306611256. It was assigned to this individual provider in the NPPES registry on November 21, 2023. The provider is also known as Kathryn-Anne Simmons Ms.

Where is Kathryn-anne Pertab located?

Kathryn-anne Pertab practices at 170 N 1100 E, American Fork, UT 84003. The listed phone number is (801) 855-4360.

What is Kathryn-anne Pertab's specialty?

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

Is Kathryn-anne Pertab enrolled in Medicare?

Yes. Kathryn-anne Pertab 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.

What insurance does Kathryn-anne Pertab accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Kathryn-anne Pertab 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 Kathryn-anne Pertab was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.