NPIMap

Organization Active NPI

Kathryn Mancewicz LLC

Doing business as Moving Forward Speech Therapy

  • Speech-Language Pathologist
  • Kalkaska, MI
National Provider Identifier
1841997202
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KATHRYN MANCEWICZ LLC
Doing business as
Moving Forward Speech Therapy
Practice address
221 W Bear Lake Rd NE
Kalkaska, MI 49646-8566
Phone
(612) 812-2174
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Kathryn K Mancewicz, MS, CCC-SLPNPI 1588132153
Title
Owner
Phone
(612) 812-2174

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

221 W Bear Lake Rd NE
Kalkaska, MI 49646-8566

Mailing address

221 W Bear Lake Rd NE
Kalkaska, MI 49646-8566
Phone (612) 812-2174

Other names 1

  • Moving Forward Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1841997202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W BEAR LAKE RD NE",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468566",
            "telephone_number": "612-812-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W BEAR LAKE RD NE",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468566",
            "telephone_number": "612-812-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN MANCEWICZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MANCEWICZ",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-812-2174",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moving Forward Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalkaska, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.