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KAYLEE A PETRO MS, CCC-SLP
NPI 1659870558
Speech-Language Pathologist in Woodstock, GA

Active since February 06, 2018
10917 HIGHWAY 92 STE 130140, WOODSTOCK, GA 30188(678) 447-1617 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Aug 6, 2024, Jul 29, 2024 (3 updates tracked since 2024).

About Kaylee A Petro Ms, Ccc-slp NPPES

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

KAYLEE A PETRO MS, CCC-SLP (NPI 1659870558) is an individual speech-language pathologist provider in Woodstock, Georgia, licensed in Georgia (013183) and active in the NPI registry since February 2018. She maintains a secondary practice location in Woodstock and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659870558
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAYLEE A PETROCredential: MS, CCC-SLP
Location Address10917 HIGHWAY 92 STE 130140Woodstock, GA 30188-6329
Mailing Address334 Melrose CirWoodstock, GA 30188-6905 · (714) 287-8917
Phone(678) 447-1617
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 6, 2018
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1659870558 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
Licenses✔ Licensed in GA · 013183✔ Licensed in CA · 37387
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.
10917 HIGHWAY 92 STE 130140, Woodstock, GA 30188
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Secondary Practice Location 1

Location 1334 Melrose CirWoodstock, GA 30188-6905 · Phone (714) 287-8917

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylee A Petro Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082053541
PECOS Enrollment IDI20251210004309

Other Providers at the Same Location NPPES

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

BRIDGE THE GAP THERAPY
Speech-Language Pathologist
10917 HIGHWAY 92 STE 130140
WOODSTOCK, GA 30188
Cherokee County (678) 447-1617

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 Kaylee Petro's NPI number?

The NPI number for Kaylee Petro is 1659870558. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Where is Kaylee Petro located?

Kaylee Petro practices at 10917 Highway 92 Ste 130140, Woodstock, GA 30188. The listed phone number is (678) 447-1617.

What is Kaylee Petro's specialty?

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

Is Kaylee Petro enrolled in Medicare?

Yes. Kaylee Petro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaylee Petro was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.