Active NPI
Kailey Marie Rohrlack, MS, CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1114645827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA20513
- Practice address
- 7108 N Duncan Ave
Tampa, FL 33604-5406 - Phone
- (772) 323-6296
- NPI assigned
- Aug 18, 2022
- 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 | SA20513 | FL | Primary |
Addresses
Primary practice location
7108 N Duncan Ave
Tampa, FL 33604-5406
Mailing address
11850 Dr Martin Luther King Jr St N Apt 20107
Saint Petersburg, FL 33716-1640
Phone (772) 323-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA20513 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1114645827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 DR MARTIN LUTHER KING JR ST N APT 20107",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337161640",
"telephone_number": "772-323-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7108 N DUNCAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336045406",
"telephone_number": "772-323-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHRLACK",
"first_name": "KAILEY",
"middle_name": "MARIE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA20513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.