Active NPI
Kaylee Janet Onderko, M.A.CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1487213146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.13405
- Practice address
- 7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599 - Phone
- (512) 806-1630
- NPI assigned
- Jun 6, 2019
- 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 | SP.13405 | OH | Primary |
Addresses
Primary practice location
7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599
Mailing address
7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599
Phone (512) 806-1630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2577162 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.13405 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Rehab and Wellness Center LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Youngstown, OH
- NPI 1932152931
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1487213146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 CHEVY CHASE DR STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521599",
"telephone_number": "512-806-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CHEVY CHASE DR STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521599",
"telephone_number": "512-806-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDERKO",
"first_name": "KAYLEE",
"middle_name": "JANET",
"credential": "M.A.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2022-04-19",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.13405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2577162",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.