Individual provider Active NPI

Karin Marie Prybock, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1780619650
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007069 Issued in PA
Practice address
35 N Balph Ave
Pittsburgh, PA 15202-3200
Phone
(412) 761-6062
Fax
(412) 766-7336
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 SL007069 PA Primary

Addresses

Primary practice location

35 N Balph Ave
Pittsburgh, PA 15202-3200

Mailing address

510 S Highland Ave Apt 2
Pittsburgh, PA 15206-4265
Phone (412) 716-3249

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Occupational Therapists, Inc. Past Accepting new patients
Rehabilitation Specialists, Inc Speech-Language Pathologist PastSince Jul 20, 2009 Accepting new patients

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1780619650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S HIGHLAND AVE APT 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064265",
            "telephone_number": "412-716-3249",
            "fax_number": "412-766-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N BALPH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023200",
            "telephone_number": "412-761-6062",
            "fax_number": "412-766-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYBOCK",
        "first_name": "KARIN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.