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KATHRYN MARIE SMITH MS CCC-SLP
NPI 1396887493
Speech-Language Pathologist in Rochester, MN

Active since February 13, 2007
2530 BROADWAY AVE N, ROCHESTER, MN 55906(507) 259-7570(888) 624-3107 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Kathryn Marie Smith Ms Ccc-slp NPPES

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

KATHRYN MARIE SMITH MS CCC-SLP (NPI 1396887493) is an individual speech-language pathologist provider in Rochester, Minnesota, licensed in Minnesota (7869) and active in the NPI registry since February 2007. She maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1396887493
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHRYN MARIE SMITHCredential: MS CCC-SLP
Location Address2530 BROADWAY AVE NRochester, MN 55906-4594
Mailing Address208 Jefferson Ct NeRacine, MN 55967-8824 · (507) 378-5705
Phone(507) 259-7570
Fax(888) 624-3107
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1396887493 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 MN · 7869
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.
2530 BROADWAY AVE N, Rochester, MN 55906
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Secondary Practice Location 1

Location 12746 Superior Dr NW, Suite 300Rochester, MN 55901-8343 · Phone (507) 288-0064 · Fax (507) 288-3993

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Marie Smith Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Owl Therapy Services LLC
13 mi
Speech-Language Pathologist
61278 260TH AVE
Mantorville, MN 55955
  • Reassigned Medicare billing, Minnesota enrollment
  • 7 clinicians in this Medicare group
NPI 1811451701 (218) 750-7653

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 17

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

DR. MELANIE DAWN BRENNAN DPT
Physical Therapist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
MEREDITH KATHLEEN KONKOL
Speech-Language Pathologist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
NAOMI DETEMPLE PT, DPT
Physical Therapist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
MS. HANNAH LEA SCHAFER CCC-SLP
Speech-Language Pathologist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
JARED L PETERSON PT
Physical Therapist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
RIO HAACK
Physical Therapist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
EXERCISABILITIES, INC.
Physical Therapist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570
MARIA SERBUS
Occupational Therapist
2530 BROADWAY AVE N
ROCHESTER, MN 55906
Olmsted County (507) 259-7570

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 Smith's NPI number?

The NPI number for Kathryn Smith is 1396887493. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Kathryn Smith located?

Kathryn Smith practices at 2530 Broadway Ave N, Rochester, MN 55906. The listed phone number is (507) 259-7570.

What is Kathryn Smith's specialty?

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

Is Kathryn Smith enrolled in Medicare?

Yes. Kathryn Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Smith reassigns Medicare benefits to Owl Therapy Services LLC (Mantorville, MN). 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 Kathryn Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Smith was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.