Individual provider Active NPI

Kim Ellen Motylewski, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Nashua, NH
National Provider Identifier
1629690474
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1987 Issued in NH
Practice address
1 Trafalgar SQ Ste 204
Nashua, NH 03063-1998
Phone
(603) 577-5517
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1987 NH Primary

Addresses

Primary practice location

1 Trafalgar SQ Ste 204
Nashua, NH 03063-1998

Mailing address

39 Magazine St
Cambridge, MA 02139-3909
Phone (617) 710-6066

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1987NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NH Speech-Language & Reading Services, LLC Speech-Language Pathologist PastSince May 17, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1629690474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MAGAZINE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393909",
            "telephone_number": "617-710-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRAFALGAR SQ STE 204",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631998",
            "telephone_number": "603-577-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTYLEWSKI",
        "first_name": "KIM",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.