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KILEY GRACE HANNON CCC-SLP
NPI 1619806197
Speech-Language Pathologist in Annandale, VA

Active since May 19, 2026
7617 LITTLE RIVER TPKE STE 100, ANNANDALE, VA 22003(703) 639-0950 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kiley Grace Hannon Ccc-slp NPPES

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

KILEY GRACE HANNON CCC-SLP (NPI 1619806197) is an individual speech-language pathologist provider in Annandale, Virginia and active in the NPI registry since May 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1619806197
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKILEY GRACE HANNONCredential: CCC-SLP
Location Address7617 LITTLE RIVER TPKE STE 100Annandale, VA 22003-2603
Mailing Address7617 Little River Tpke Ste 100Annandale, VA 22003-2603 · (703) 639-0950
Phone(703) 639-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1619806197 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.
7617 LITTLE RIVER TPKE STE 100, Annandale, VA 22003
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiley Grace Hannon Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406311091
PECOS Enrollment IDI20260723004945

Medicare Billing Reassignment

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

Body Kinetics Rehab LLC.
Same address
Neurology
7617 LITTLE RIVER TPKE, SUITE 110
Annandale, VA 22003
  • Reassigned Medicare billing, District of Columbia enrollment
  • 12 clinicians in this Medicare group
NPI 1891706586 (703) 639-0950

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 6

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

MCKAYLA MCCOY SHARER
Speech-Language Pathologist
7617 LITTLE RIVER TPKE STE 100
ANNANDALE, VA 22003
Fairfax County (703) 639-0950
VICTORIA COURTRIGHT OTR/L
Occupational Therapist
7617 LITTLE RIVER TPKE STE 100
ANNANDALE, VA 22003
Fairfax County (703) 639-0950
VY LE BCBA, LBA, M.ED
Behavior Analyst
7617 LITTLE RIVER TPKE STE 100
ANNANDALE, VA 22003
Fairfax County (703) 639-0950
BODY MECHANIX AND BEYOND LLC
Physical Therapist
7617 LITTLE RIVER TPKE STE 100
ANNANDALE, VA 22003
Fairfax County (516) 603-7033
KATHARYN ELIZABETH MARTIN BCABA, COTA/L
Behavior Analyst
7617 LITTLE RIVER TPKE STE 100
ANNANDALE, VA 22003
Fairfax County (703) 639-0950
JENNA DANZIG REITER
Speech-Language Pathologist
7617 LITTLE RIVER TPKE STE 100
ANNANDALE, VA 22003
Fairfax County (703) 639-0950

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 Kiley Hannon's NPI number?

The NPI number for Kiley Hannon is 1619806197. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Kiley Hannon located?

Kiley Hannon practices at 7617 Little River Tpke Ste 100, Annandale, VA 22003. The listed phone number is (703) 639-0950.

What is Kiley Hannon's specialty?

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

Is Kiley Hannon enrolled in Medicare?

Yes. Kiley Hannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kiley Hannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiley Hannon reassigns Medicare benefits to Body Kinetics Rehab LLC. (Annandale, VA). 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 Kiley Hannon'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 Kiley Hannon was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.