Individual provider Active NPI

Katie Pawelec, MA CCC SLP

  • Speech-Language Pathologist
  • Glenshaw, PA
National Provider Identifier
1114572005
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014705 Issued in PA
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

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204000990 PA Practitioner - Qualified Speech Language Pathologist 9032523998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL014705PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
River Speech and Educational Services, Inc Speech-Language Pathologist CurrentSince Jan 27, 2021 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.

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.

Verify at the official NPI Registry.