KELLY TILLERY M.S., CCC-SLP
NPI 1619826468
Speech-Language Pathologist in Los Angeles, CA

Q: What is Kelly Tillery's NPI number?

The NPI number for Kelly Tillery is 1619826468. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Q: What is Kelly Tillery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Tillery was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 26, 2026

4547 EL REPOSO DR, LOS ANGELES, CA 90065(310) 963-5787 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Tillery M.s., Ccc-slp NPPES

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

KELLY TILLERY M.S., CCC-SLP (NPI 1619826468) is an individual speech-language pathologist provider in Los Angeles, California, licensed in California (SP26213) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1619826468

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY TILLERYCredential: M.S., CCC-SLP

Location Address4547 EL REPOSO DRLos Angeles, CA 90065-5202

Mailing Address4547 El Reposo DrLos Angeles, CA 90065-5202 · (310) 963-5787

Phone(310) 963-5787

Sole ProprietorYes

Enumeration DateJanuary 26, 2026

NPPES CertifiedJanuary 26, 2026

✔ NPI 1619826468 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 CA · SP26213

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.

4547 EL REPOSO DR, Los Angeles, CA 90065

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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 Kelly Tillery's NPI number?

The NPI number for Kelly Tillery is 1619826468. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Kelly Tillery located?

Kelly Tillery practices at 4547 El Reposo Dr, Los Angeles, CA 90065. The listed phone number is (310) 963-5787.

What is Kelly Tillery'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 Kelly Tillery was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.