Individual provider Active NPI

Rylee J Klocow

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1295464485
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7986 Issued in SC
Practice address
10 Jimmy Doolittle Dr Ste B
Greenville, SC 29607-2622
Phone
(864) 640-4970
Fax
(864) 520-8813
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 7986 SC Primary

Addresses

Primary practice location

10 Jimmy Doolittle Dr Ste B
Greenville, SC 29607-2622

Mailing address

10 Jimmy Doolittle Dr Ste B
Greenville, SC 29607-2622
Phone (864) 640-4970

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
7986SCMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1295464485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JIMMY DOOLITTLE DR STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072622",
            "telephone_number": "864-640-4970",
            "fax_number": "864-520-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JIMMY DOOLITTLE DR STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072622",
            "telephone_number": "864-640-4970",
            "fax_number": "864-520-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCOW",
        "first_name": "RYLEE",
        "middle_name": "J",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.