Individual provider Active NPI

Aneta Marzena Rychtarczyk, SLP

  • Speech-Language Pathologist
  • Rockford, IL
National Provider Identifier
1528675758
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146015356 Issued in IL
Practice address
5222 Spring Creek Rd
Rockford, IL 61114-6330
Phone
(815) 654-4960
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146015356 IL Primary
Speech-Language Pathologist 235Z00000X 242005445 IL

Addresses

Primary practice location

5222 Spring Creek Rd
Rockford, IL 61114-6330

Mailing address

874 Arthur Dr
Elgin, IL 60120-3116
Phone (708) 248-3512

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
146015356ILMDSpeech-Language Pathologist
242005445ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1528675758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 ARTHUR DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203116",
            "telephone_number": "708-248-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 SPRING CREEK RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146330",
            "telephone_number": "815-654-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCHTARCZYK",
        "first_name": "ANETA",
        "middle_name": "MARZENA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146015356",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.