Kaylee A Petro, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013183 Issued in GA

Practice address

10917 Highway 92 Ste 130140
Woodstock, GA 30188-6329

Phone

(678) 447-1617

NPI assigned

Feb 6, 2018

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, GA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Coast Language and Learning Center

  • Early Intervention Provider Agency
  • Monterey, CA
  • NPI 1356589022
  Medicare reassignment NPD
• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  CA

  Medicare reassignment NPD
• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  GA

  Medicare reassignment NPD
• Bridge the Gap Therapy

  • Speech-Language Pathologist
  • Woodstock, GA
  • NPI 1699345470
  NPD
• Hope Speech and Language Therapy

  • Hearing and Speech Clinic/Center
  • Murrieta, CA
  • NPI 1730571928
  NPD (past)
• Key to Behavior

  dba Hope Comprehensive Center for Development

  • Behavior Analyst
  • Murrieta, CA
  • NPI 1588936074
  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1659870558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MELROSE CIR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886905",
            "telephone_number": "714-287-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92 STE 130140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "678-447-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Melrose Cir",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301886905",
            "country_code": "US",
            "telephone_number": "714-287-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRO",
        "first_name": "KAYLEE",
        "middle_name": "A",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37387",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "013183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Nicole Pendley, RDN, LD
• Courtney Penrose
• Kayla Perkins
• Danielle Cotovia Perna-Amari, DC
• Megan Andrews Perry
• David M Peyroux, D.C.
• Philemon Enterprises LLC (Health Solutions)
• Tiji Mathew Philip, M.D.
• Karen Phillip
• Physician Pain Care,P.C.

• Speech-Language Pathologist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.