Individual provider Active NPI

Katlin Rachelle Bodenschatz, MS-CCC SLP

  • Speech-Language Pathologist
  • Duncansville, PA
National Provider Identifier
1275048068
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013530 Issued in PA
Practice address
138 Veterans Blvd
Duncansville, PA 16635-8460
Phone
(814) 696-5234
NPI assigned
Dec 4, 2017
Last updated
Dec 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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 SL013530 PA Primary

Addresses

Primary practice location

138 Veterans Blvd
Duncansville, PA 16635-8460

Mailing address

600 Washington St
Huntingdon, PA 16652-1722
Phone (814) 506-8212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL013530PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1275048068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521722",
            "telephone_number": "814-506-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 VETERANS BLVD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358460",
            "telephone_number": "814-696-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSCHATZ",
        "first_name": "KATLIN",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.