KIMBERLEY RUTSKY M.A., CCC-SLP
NPI 1689714438
Speech-Language Pathologist in Staten Island, NY

Q: What is Kimberley Rutsky's NPI number?

The NPI number for Kimberley Rutsky is 1689714438. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Q: What is Kimberley Rutsky'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 Kimberley Rutsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 08, 2007

2324 FOREST AVE, STATEN ISLAND, NY 10303(718) 447-0200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kimberley Rutsky M.a., Ccc-slp NPPES

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

KIMBERLEY RUTSKY M.A., CCC-SLP (NPI 1689714438) is an individual speech-language pathologist provider in Staten Island, New York, licensed in North Carolina (015725) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1689714438

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKIMBERLEY RUTSKYCredential: M.A., CCC-SLP

Location Address2324 FOREST AVEStaten Island, NY 10303-1506

Mailing Address85 John St Apt 5dNew York, NY 10038-2843 · (212) 217-1554

Phone(718) 447-0200

Sole ProprietorYes

Enumeration DateFebruary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689714438 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 NC · 015725

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.

2324 FOREST AVE, Staten Island, NY 10303

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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)

Kimberley Rutsky M.a., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Fox Rehabilitation Physical Therapy Services LLC

16 mi

Physical Therapist

1844 2ND AVE
New York, NY 10128

Reassigned Medicare billing, New York enrollment
564 clinicians in this Medicare group

NPI 1174560650 (877) 407-3422

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 20

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

MR. PAUL ANTHONY DIGIOVANNI OTR

Occupational Therapist