Individual provider Active NPI

Rebecca Rexrode Aken

  • Speech-Language Pathologist
  • Martinsville, VA
National Provider Identifier
1053582700
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006873 Issued in VA
Practice address
128 Fayette Street
Martinsville, VA 24112
Phone
(276) 352-4465
Fax
(276) 293-1212
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12049254 WV
Speech-Language Pathologist 235Z00000X 2202006873 VA Primary

Addresses

Primary practice location

128 Fayette Street
Martinsville, VA 24112

Mailing address

260 Bonbrook Road
Wirtz, VA 24184
Phone (434) 319-0454

Other identifiers 2

IdentifierTypeStateIssuer
30017546930002MedicaidVA
3810007213MedicaidWV

Other names 1

  • Rebecca Lee Rexrode Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002224 VA Practitioner - Qualified Speech Language Pathologist 0345783759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acme Therapies CoGroup PAC ID 8022384577, 4 clinicians

Practice addresses (Care Compare)

128 Fayette St
Martinsville, VA 24112-2620
Phone (276) 352-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202006873VAMDSpeech-Language Pathologist
12049254WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Therapies Co Speech-Language Pathologist CurrentSince Mar 22, 2024 Accepting new patients

Locations

128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465

209 E Cleveland Ave
Vinton, VA 24179
Phone (276) 352-4465

7195 Booker T Washington Hwy
Unit 3
Wirtz, VA 24184
Phone (276) 352-4465

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1053582700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BONBROOK ROAD",
            "city": "WIRTZ",
            "state": "VA",
            "postal_code": "24184",
            "telephone_number": "434-319-0454",
            "fax_number": "276-293-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FAYETTE STREET",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKEN",
        "first_name": "REBECCA",
        "middle_name": "REXRODE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "12049254",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017546930002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007213",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "REXRODE",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.