Rachel T Mauck, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2101 Issued in WV

Practice address

110 Mordington Ave
Charles Town, WV 25414-1693

Phone

(304) 267-3595

Fax

(304) 267-3599

NPI assigned

Sep 11, 2020

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)

Not enrolled

Practice roles

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.

• Evolve Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Shenandoah Junction, WV
  • NPI 1538935309
  NPD Authorized official
• Jefferson County Board of Education

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1750550570
  NPD (past)
• Jefferson County Schools

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1639367402
  NPD (past)

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1700491248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141693",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141693",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCK",
        "first_name": "RACHEL",
        "middle_name": "T",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Mancini
• Markglen, Inc.
• Angela Martin
• Annette Marie Mason, PT
• Michael B Matela, MD
• Nina Mazelev
• Samantha Mazelev
• Anastasie Mbono
• Jean Lynn McDaniel
• Michelle Raye McDaniel

• Speech-Language Pathologist in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Speech-Language Pathologist in West Virginia

• 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.

Verify at the official NPI Registry.