Timothy Luke Robertson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

600 N. Main
Leeton, MO 64761

Phone

(660) 653-4731

NPI assigned

Jul 20, 2007

Sex

Male

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 KS, MO2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, shared by 4 NPIs, 207 clinicians

Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, 152 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Kansas City, MO
  • NPI 1083208391

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Missouri LLC

  dba EmpowerMe Rehab St. Charles

  • Multi-Specialty Clinic/Center
  • Saint Charles, MO
  • NPI 1417479494

  Speech-Language Pathologist

  Medicare reassignment NPD
• Empowerme Rehabilitation Missouri LLC

  • Multi-Specialty Clinic/Center
  • Prairie Village, KS
  • NPI 1205334521

  Speech-Language Pathologist

  Medicare reassignment NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Prairie Village, KS
  • NPI 1124619697
  Medicare reassignment
• Empowerme Rehabilitation Missouri LLC

  • Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1558932327

  Speech-Language Pathologist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1346440120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 CLOVERLEAF DRIVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "64093",
            "telephone_number": "660-238-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. MAIN",
            "city": "LEETON",
            "state": "MO",
            "postal_code": "64761",
            "telephone_number": "660-653-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TIMOTHY",
        "middle_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Mae Evans
• Samantha Head, M.S.
• Andrea Sue Kalafut
• Paige Laura Knerl
• Leeton R-X School District
• Cassy Maria Staples
• Amanda Beth Taylor, M.S., CCC-SLP

• Speech-Language Pathologist in Leeton, MO
• Providers in Leeton, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.