Individual provider Active NPI

Kelly Reilley Shultz

  • Speech-Language Pathologist
  • Collegeville, PA
National Provider Identifier
1235886318
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
555 Second Ave Ste C-850
Collegeville, PA 19426-3635
Phone
(610) 454-1177
NPI assigned
Mar 8, 2022
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

555 Second Ave Ste C-850
Collegeville, PA 19426-3635

Mailing address

118 Durham Dr
Coatesville, PA 19320-5537
Phone (610) 551-3307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306002455 PA Practitioner - Qualified Speech Language Pathologist 6305219700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Morehouse School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Speech and Hearing LLCGroup PAC ID 6901395862, 4 clinicians
Collegeville Speech and Hearing, LLCGroup PAC ID 1759562465, 4 clinicians

Practice addresses (Care Compare)

555 2ND Ave
Suite C 850
Collegeville, PA 19426-3635
Phone (610) 454-1177

555 2ND Ave
Suite D 204
Collegeville, PA 19426-3642
Phone (610) 454-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Speech and Hearing LLC Speech-Language Pathologist CurrentSince Jan 1, 2026 Accepting new patients
Collegeville Speech and Hearing, LLC Speech-Language Pathologist CurrentSince Oct 28, 2022 Accepting new patients

Locations

555 Second Ave
Ste C-850
Collegeville, PA 19426
Phone (610) 454-1177

555 Second Ave
Ste D-204
Collegeville, PA 19426
Phone (610) 454-1177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1235886318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DURHAM DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205537",
            "telephone_number": "610-551-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE C-850",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263635",
            "telephone_number": "610-454-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "KELLY",
        "middle_name": "REILLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.