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RONNIE GRIJALVA
NPI 1649901257
Speech-Language Pathologist in Rock Hill, SC

Active since June 23, 2022
1612 EBENEZER RD STE 101, ROCK HILL, SC 29732(803) 329-9500(803) 228-0101 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ronnie Grijalva NPPES

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

RONNIE GRIJALVA (NPI 1649901257) is an individual speech-language pathologist provider in Rock Hill, South Carolina, licensed in South Carolina (8036) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1649901257
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameRONNIE GRIJALVA
Location Address1612 EBENEZER RD STE 101Rock Hill, SC 29732-3862
Mailing Address1612 Ebenezer Rd Ste 101Rock Hill, SC 29732-3862 · (803) 329-9500 · Fax (803) 228-0101
Phone(803) 329-9500
Fax(803) 228-0101
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1649901257 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 SC · 8036
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.
1612 EBENEZER RD STE 101, Rock Hill, SC 29732
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronnie Grijalva is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Collective Therapy Corp.
19 mi
Speech-Language Pathologist
507 WAKEFIELD DR APT C
Charlotte, NC 28209
  • Reassigned Medicare billing, South Carolina enrollment
  • 37 clinicians in this Medicare group
NPI 1396380911 (919) 332-3221

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 12

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

DANIELLE RENEE HARRIS
Speech-Language Pathologist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500
DEANNA PADILLA
Occupational Therapist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500
EVELYN MCCRAE JASPER OTR/L
Occupational Therapist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500
DIARRA MICHELLE MEDLOCK
Occupational Therapist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500
BRANDON JOHNSON
Occupational Therapist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500
NIKKIE LANGSY OTR/L
Occupational Therapist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500
MS. KATERINA DAVIDOFF MS CCC SLP
Speech-Language Pathologist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (212) 604-9369
EMILY MEAGHAN JONES OTR/L
Occupational Therapist
1612 EBENEZER RD STE 101
ROCK HILL, SC 29732
York County (803) 329-9500

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 Ronnie Grijalva's NPI number?

The NPI number for Ronnie Grijalva is 1649901257. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Ronnie Grijalva located?

Ronnie Grijalva practices at 1612 Ebenezer Rd Ste 101, Rock Hill, SC 29732. The listed phone number is (803) 329-9500.

What is Ronnie Grijalva's specialty?

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

Is Ronnie Grijalva enrolled in Medicare?

Yes. Ronnie Grijalva is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronnie Grijalva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronnie Grijalva reassigns Medicare benefits to Collective Therapy Corp. (Charlotte, NC). 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 Ronnie Grijalva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronnie Grijalva accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Ronnie Grijalva 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 Ronnie Grijalva was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.