Mary Jill Grogg, M.S.,C.C.C.,S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL-003846-L Issued in PA

Practice address

5501 Perkiomen Ave
Reading, PA 19606-3633

Phone

(610) 779-0600

Fax

(610) 370-2185

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: jill.grogg.p1@direct.salusuhealth.nextgenshare.com

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538284690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FAIRWAY DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063667",
            "telephone_number": "610-370-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063633",
            "telephone_number": "610-779-0600",
            "fax_number": "610-370-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGG",
        "first_name": "MARY",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "M.S.,C.C.C.,S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL-003846-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Griffin
• Hayley Griffith
• Hannah Grillo, PA-S
• Brian Edward Grogesky
• Diana Marie Grogesky, A.T.,C
• Lawrence Gross, MD
• Staci H Gross, PA-C
• Robin Diane Gruber, MS SPECIAL EDUCATION
• Shirley Ann Grumbine
• Zaida E Guadalupe, LPC

• Speech-Language Pathologist in Reading, PA
• Providers in Reading, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.