Kelli Plute, M.S, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2018016957 Issued in MO

Practice address

13230 Manchester Rd
Des Peres, MO 63131-1706

Phone

(618) 978-0517

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Comprehensive Therapeutics LTD

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  • NPI 1699094102

  Speech-Language Pathologist

  NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1154980274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BETHEL MEADOWS RD",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622322508",
            "telephone_number": "618-978-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311706",
            "telephone_number": "618-978-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTE",
        "first_name": "KELLI",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2018016957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Otte, MPT
• Genevieve Marie Otto, DDS, MSD
• Thomas J Panasci, M.D.
• Sajel Shailesh Patel
• Personalized Educational Resources, L.L.C.
• Preferred PT Des Peres LLC
• Premier Physical Therapy
• Darci Lea Hunter Prewitt, O.D.
• Gillian Christine Pritchard, P.T.
• Adam M. Ralko, MD

• All providers in Des Peres, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.