Madison Marie Rozycki, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

33964 Issued in CA

Practice address

2109 Otoole Ave Ste M
San Jose, CA 95131-1338

Phone

(408) 573-7720

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pediatric Play Therapy

  • Pediatric Occupational Therapist
  • San Jose, CA
  • NPI 1730066960

  Speech-Language Pathologist

  NPD
• Pediatric Play Therapy

  • Clinic/Center
  • San Jose, CA
  • NPI 1568641520
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1275103202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE STE M",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "408-573-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE STE M",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "408-573-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 Donovan Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092631",
            "country_code": "US",
            "telephone_number": "409-531-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZYCKI",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021021277",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madison@pptot.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2109 OToole Ave Ste M",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951311338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Christine Royball
• Melina Royer, DPT
• Jennifer Anne Rozenhart, D.C.
• Michael Rozin Sr.
• Mihaela Elena Rozmarin, MSW
• Xin Ru, NP
• Francis Ruanto
• Joyce Ruba, BA
• Yaritsa Rubalcava
• Loanne Rube, PHYSICAL THERAPIST

• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.