Active NPI
Cassandra K Rehwalt, SLP
- Speech-Language Pathologist
- Burien, WA
National Provider Identifier
1609596550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61354309
- Practice address
- 127 SW 156TH St
Burien, WA 98166-2515 - Phone
- (253) 216-0720
- Fax
- (253) 854-7025
- NPI assigned
- Aug 31, 2022
- 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 | LL61354309 | WA | Primary |
Addresses
Primary practice location
127 SW 156TH St
Burien, WA 98166-2515
Mailing address
10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Phone (253) 854-5660
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 |
|---|---|---|---|
| LL61354309 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1609596550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10811 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307108",
"telephone_number": "253-854-5660",
"fax_number": "253-854-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 SW 156TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662515",
"telephone_number": "253-216-0720",
"fax_number": "253-854-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHWALT",
"first_name": "CASSANDRA",
"middle_name": "K",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61354309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.