Individual provider Active NPI

Kathryn Leigh Rudolph, M.A., CCC- SLP

  • Speech-Language Pathologist
  • Eagleville, PA
National Provider Identifier
1780948851
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010934 Issued in PA
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.

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

OrganizationSpecialtyStatusNew patients
Allegretto Therapy Services, LLC Speech-Language Pathologist CurrentSince Feb 15, 2018 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)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL010934 PA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.