Individual provider Active NPI

Taylor Jordyn Rohm

  • Speech-Language Pathologist
  • Myrtle Beach, SC
National Provider Identifier
1134803000
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8394 Issued in SC
Practice address
211 Prather Park Dr Unit B
Myrtle Beach, SC 29588-7983
Phone
(843) 640-5522
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 8394 SC Primary

Addresses

Primary practice location

211 Prather Park Dr Unit B
Myrtle Beach, SC 29588-7983

Mailing address

1524 Gardenside CT
Naperville, IL 60540-0361
Phone (630) 523-4986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210000497 SC Practitioner - Qualified Speech Language Pathologist 6204362643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8394SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kemper Therapy Group LLC Single Specialty CurrentSince Sep 7, 2024 Accepting new patients
Young Talkers, LLC Single Specialty PastSince Jun 1, 2023 Accepting new patients
Young Talkers, LLC Single Specialty PastSince Jun 1, 2023 Accepting new patients

Locations

211 Prather Park Dr
Unit B
Myrtle Beach, SC 29588
Phone (843) 640-5522

Organizations & group practices 3

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1134803000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 GARDENSIDE CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400361",
            "telephone_number": "630-523-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PRATHER PARK DR UNIT B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887983",
            "telephone_number": "843-640-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHM",
        "first_name": "TAYLOR",
        "middle_name": "JORDYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.