Active NPI
Katie Pawelec, MA CCC SLP
- Speech-Language Pathologist
- Glenshaw, PA
National Provider Identifier
1114572005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL014705
- Practice address
- 3390 Saxonburg Blvd Ste 250
Glenshaw, PA 15116-3160 - Phone
- (412) 767-5967
- Fax
- (412) 767-5960
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL014705 | PA | Primary |
Addresses
Primary practice location
3390 Saxonburg Blvd Ste 250
Glenshaw, PA 15116-3160
Mailing address
3390 Saxonburg Blvd Ste 250
Glenshaw, PA 15116-3160
Phone (412) 767-5967
Other practice location 1
2112 N Franklin Dr Ste 4-5
Washington, PA 15301-5874
Phone (724) 705-7050
Other names 1
- Katie Ronczka
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL014705 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Speech and Educational Services, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Positive Steps Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3390 Saxonburg Blvd
Ste 250
Glenshaw, PA 15116
Phone (412) 767-5967
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.
-
- Speech-Language Pathologist
- Glenshaw, PA
- NPI 1548313315
-
- Pediatric Physical Therapist
- Gibsonia, PA
- NPI 1316985013
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1114572005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 SAXONBURG BLVD STE 250",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151163160",
"telephone_number": "412-767-5967",
"fax_number": "412-767-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 SAXONBURG BLVD STE 250",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151163160",
"telephone_number": "412-767-5967",
"fax_number": "412-767-5960"
}
],
"practiceLocations": [
{
"address_1": "2112 N Franklin Dr Ste 4-5",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "PA",
"postal_code": "153015874",
"country_code": "US",
"telephone_number": "724-705-7050",
"fax_number": "724-705-7193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAWELEC",
"first_name": "KATIE",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL014705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "RONCZKA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.