Active NPI
Kathryn Leigh Rudolph, M.A., CCC- SLP
- Speech-Language Pathologist
- Eagleville, PA
National Provider Identifier
1780948851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010934
- Practice address
- 3075 Ridge Pike
Eagleville, PA 19403-1538 - Phone
- (610) 265-4700
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Exton, PA
- NPI 1295008175
-
- Case Management Agency
- Eagleville, PA
- NPI 1164734455
-
- Multi-Specialty Clinic/Center
- Exton, PA
- NPI 1609238971
-
- Speech-Language Pathologist
- Eagleville, PA
- NPI 1306975826
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegretto Therapy Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Denise Marino | Past | Accepting new patients | |
| The Arc Alliance Children Services | Speech-Language Pathologist | Past | Accepting new patients |
| Arc Advocacy Services | Past | Accepting new patients |
Locations
694 Wharton Blvd
Exton, PA 19341
Phone (484) 459-7154
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL010934 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3075 Ridge Pike
Eagleville, PA 19403-1538
Mailing address
612 Lancaster CT
Downingtown, PA 19335-4219
Phone (610) 269-4575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2012.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1780948851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 LANCASTER CT",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193354219",
"telephone_number": "610-269-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 RIDGE PIKE",
"city": "EAGLEVILLE",
"state": "PA",
"postal_code": "194031538",
"telephone_number": "610-265-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "KATHRYN",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "M.A., CCC- SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagleville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.