NPIMap

Organization Active NPI

Rock Therapeutic Services LLC

  • Speech-Language Pathologist
  • Maple Valley, WA
National Provider Identifier
1750667713
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ROCK THERAPEUTIC SERVICES LLC
Practice address
22443 SE 240TH St
B101
Maple Valley, WA 98038
Phone
(425) 358-7160
Fax
(425) 358-7159
NPI assigned
Oct 21, 2011
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Adrienne Rock, MSNPI 1689846313
Title
CCC-Speech-Language Pathologist
Phone
(425) 358-7160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

22443 SE 240TH St
B101
Maple Valley, WA 98038

Mailing address

22443 SE 240TH St
B101
Maple Valley, WA 98038
Phone (425) 358-7160

Other practice location 1

21106 State Route 410 E
Bonney Lake, WA 98391-8788
Phone (425) 358-7160

National Provider Directory

National Provider Directory

Locations

22443 SE 240th St
Ste B101
Maple Valley, WA 98038
Phone (425) 358-4885

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1750667713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST",
            "address_2": "B101",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-358-7160",
            "fax_number": "425-358-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST",
            "address_2": "B101",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-358-7160",
            "fax_number": "425-358-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21106 State Route 410 E",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983918788",
            "country_code": "US",
            "telephone_number": "425-358-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCK THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "CCC-SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "425-358-7160",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.