Neuro Rehab Network LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

05862 Issued in MD

Legal business name

NEURO REHAB NETWORK LLC

Practice address

11825 Shepards Xing
Clarksville, MD 21029-1139

Phone

(917) 575-3171

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Julie Jacobs Rowlett, MS, CCC-SLPNPI 1659405587

Title

Speech Language Pathologist

Phone

(917) 575-3171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Jacobs Rowlett, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Clarksville, MD
  • NPI 1659405587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891211504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 SHEPARDS XING",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291139",
            "telephone_number": "917-575-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 SHEPARDS XING",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291139",
            "telephone_number": "917-575-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO REHAB NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROWLETT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "JACOBS",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-575-3171",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.