Kerry Flanagan – Speech-Language Pathologist

Key facts

NPI: 1013673417
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 41YS01107600 (NJ)
Practice address: 1314 Main St
Belmar, NJ 07719-2715
Phone: (848) 404-9395
NPI assigned: Nov 10, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Mighty Masters Therapy Occupational Therapist · Belmar, NJ · NPI 1568280469

NPD SPEECH-LANGUAGE PATHOLOGIST
Mighty Masters Therapy OT Occupational Therapist · Belmar, NJ · NPI 1871392704

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
41YS01107600	NJ	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Mighty Masters Therapy OT		Current since Mar 20, 2025	Accepting new patients
Mighty Masters Therapy	Speech-Language Pathologist	Current since Feb 9, 2025	Accepting new patients

Locations

1314 Main St
Belmar, NJ 07719
Phone (848) 404-9395

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	41YS01107600	NJ	Yes

Addresses

Primary practice location

1314 Main St
Belmar, NJ 07719-2715

Mailing address

1314 Main St
Belmar, NJ 07719-2715
Phone (848) 404-9395

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 7, 2025.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1013673417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 MAIN ST",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192715",
            "telephone_number": "848-404-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 MAIN ST",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192715",
            "telephone_number": "848-404-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01107600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

All providers in Belmar, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.