Kendall Rhys Brock, SLP CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

14002 E 21St St Ste 650
Tulsa, OK 74134-1425

Phone

(918) 274-7902

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in CO

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Therapy and Wellness LLCGroup PAC ID 9032521448, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aspire Therapy and Wellness LLC

  • Physical Therapist
  • Louisville, CO
  • NPI 1700497013
  Medicare reassignment Care Compare group
• Eastgate Metroplex Therapy LLC

  • Speech-Language Pathologist
  • Tulsa, OK
  • NPI 1932715893
  NPD
• Hope for Tulsa

  • Speech-Language Pathologist
  • Tulsa, OK
  • NPI 1962943555
  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1225729932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341425",
            "telephone_number": "918-274-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341425",
            "telephone_number": "918-274-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KENDALL",
        "middle_name": "RHYS",
        "credential": "SLP CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Broadright
• Veneeciea Broadus
• Ezrikai Broam, LCSW, LADC
• Bridget Anne Brock, MS
• Cynthia Brock, PT
• Leandra Sue Brock, RN
• Todd Alan Brockman, M.D.
• Elizabeth Page Brockwell, LCSW
• Jeffrey Greg Broermann, DDS
• Michelle Denise Brogdon

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.