Active NPI
Brenda Neulen Kiely, SLP
- Speech-Language Pathologist
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2362
- Practice address
- 2720 Charles Town Rd
Martinsburg, WV 25405-5626 - Phone
- (304) 263-0933
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2362 | WV | Primary |
Addresses
Primary practice location
2720 Charles Town Rd
Martinsburg, WV 25405-5626
Mailing address
655 S Willow St Ste 128
Manchester, NH 03103-5723
Phone (800) 995-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13435 Cameron CT
Boston, VA 22713-4204
PO Box
821322 Attn Powerback Credentialing Dept
Philadelphia, PA 19182-1322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2362 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 3
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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Prospect, KY
- NPI 1063014405
Speech-Language Pathologist
-
dba Powerback Rehabilitation
- Physical Therapist
- Virginia Beach, VA
- NPI 1871241414
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1386357382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S WILLOW ST STE 128",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035723",
"telephone_number": "800-995-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 CHARLES TOWN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254055626",
"telephone_number": "304-263-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELY",
"first_name": "BRENDA",
"middle_name": "NEULEN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-2362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.