Individual provider Active NPI

Kathleen Rojeski, CCC

  • Speech-Language Pathologist
  • Shelby TWP, MI
National Provider Identifier
1699391102
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101002227 Issued in MI
Practice address
14153 Rick Dr
Shelby TWP, MI 48315-2951
Phone
(586) 566-0326
NPI assigned
Jun 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 7101002227 MI Primary

Addresses

Primary practice location

14153 Rick Dr
Shelby TWP, MI 48315-2951

Mailing address

17901 Sunshine Skyway Dr
Macomb, MI 48042-3614
Phone (586) 382-1080

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Peds CurrentSince Jun 28, 2020 Accepting new patients

Locations

14153 Rick Dr
Shelby Township, MI 48315
Phone (586) 566-0326

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": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1699391102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 SUNSHINE SKYWAY DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423614",
            "telephone_number": "586-382-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 RICK DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483152951",
            "telephone_number": "586-566-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJESKI",
        "first_name": "KATHLEEN",
        "credential": "CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.