Active NPI
Taylor Jordyn Rohm
- Speech-Language Pathologist
- Myrtle Beach, SC
National Provider Identifier
1134803000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8394
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210000497 | SC | Practitioner - Qualified Speech Language Pathologist | 6204362643 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8394 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kemper Therapy Group LLC | Single Specialty | Current | Accepting new patients |
| Young Talkers, LLC | Single Specialty | Past | Accepting new patients |
| Young Talkers, LLC | Single Specialty | Past | 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.
-
- Hearing and Speech Clinic/Center
- Myrtle Beach, SC
- NPI 1659015428
Single Specialty
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.