Active NPI
Aneta Marzena Rychtarczyk, SLP
- Speech-Language Pathologist
- Rockford, IL
National Provider Identifier
1528675758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146015356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 146015356 | IL | MD | Speech-Language Pathologist |
| 242005445 | IL | MD | Speech-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.