Active NPI
Kerry Symes, MA CCC SLP
- Speech-Language Pathologist
- Clinton Township, MI
National Provider Identifier
1740872829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101007158
- Practice address
- 42804 Garfield Rd
Clinton Township, MI 48038-1656 - Phone
- (586) 323-2957
- Fax
- (586) 323-0022
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101007158 | MI | Primary |
| Speech-Language Pathologist | 235Z00000X | 7101006276 | MI |
Addresses
Primary practice location
42804 Garfield Rd
Clinton Township, MI 48038-1656
Mailing address
42804 Garfield Rd
Clinton Township, MI 48038-1656
Phone (586) 323-2957
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101006276 | MI | MD | Speech-Language Pathologist |
| 7101007158 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawl Walk Jump Run Therapy Clinic | Past | 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.
-
- Rehabilitation Clinic/Center
- Clinton Township, MI
- NPI 1720488620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1740872829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42804 GARFIELD RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381656",
"telephone_number": "586-323-2957",
"fax_number": "586-323-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42804 GARFIELD RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381656",
"telephone_number": "586-323-2957",
"fax_number": "586-323-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMES",
"first_name": "KERRY",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101007158",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101006276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.