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BERKLEY KIDS REHAB
NPI 1447093869
Speech-Language Pathologist in Oak Park, MI

Active since June 13, 2024
25595 COOLIDGE HWY, OAK PARK, MI 48237(248) 629-4696 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About Berkley Kids Rehab NPPES

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

BERKLEY KIDS REHAB (NPI 1447093869) is a healthcare organization registered as a speech-language pathologist in Oak Park, Michigan and active in the NPI registry since June 2024. The organization lists Molly Evans, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1447093869
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBERKLEY KIDS REHAB
Location Address25595 COOLIDGE HWYOak Park, MI 48237-1306
Mailing Address25595 Coolidge HwyOak Park, MI 48237-1306 · (248) 629-4696
Phone(248) 629-4696
Organization SubpartNo
Authorized OfficialMolly EvansOwner/director · (248) 629-4696
Enumeration DateJune 13, 2024
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1447093869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOccupational TherapistTaxonomy 225X00000X
25595 COOLIDGE HWY, Oak Park, MI 48237
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Berkley Kids Rehab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Berkley Kids Rehab, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Maureen Mattiello, PT
Physical Therapist in Private Practice
NPI 1932421245
33481 W 14 MILE RD STE 130
Farmington Hills, MI 48331
(248) 661-6708
11 mi
Kerri Sills
Occupational Therapist in Private Practice
NPI 1417495425
2690 WEWOKA RD
Waterford, MI 48328
(248) 682-9530
14 mi
Amber Stephens, PT, DPT
Physical Therapist in Private Practice
NPI 1164246195
2000 E OAKLEY PARK RD STE 101-B
Commerce Township, MI 48390
(248) 387-5200
15 mi
Ruby Dockery- Boykin, OTD
Occupational Therapist in Private Practice
NPI 1922547173
30801 JEFFERSON AVE
Saint Clair Shores, MI 48082
(586) 201-7737
16 mi

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

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 Berkley Kids Rehab's NPI number?

The NPI number for Berkley Kids Rehab is 1447093869. It was assigned to this organization in the NPPES registry on June 13, 2024.

Where is Berkley Kids Rehab located?

Berkley Kids Rehab is located at 25595 Coolidge Hwy, Oak Park, MI 48237. The listed phone number is (248) 629-4696.

What is Berkley Kids Rehab's specialty?

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

Is Berkley Kids Rehab enrolled in Medicare?

Yes. Berkley Kids Rehab is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Berkley Kids Rehab?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Berkley Kids Rehab, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Berkley Kids Rehab accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Berkley Kids Rehab 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 Berkley Kids Rehab was last updated on September 10, 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.