Active NPI
Kathryn Ruth Rothermel, M.S., CCC-SLP
- Speech-Language Pathologist
- Bryan, TX
National Provider Identifier
1891948253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 107492
- Practice address
- 1202 Bristol St
Bryan, TX 77802-1915 - Phone
- (571) 305-0762
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 107492 | TX | Primary |
Addresses
Primary practice location
1202 Bristol St
Bryan, TX 77802-1915
Mailing address
2610A Pecan Knoll St
Bryan, TX 77802-2224
Phone (571) 305-0762
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107492 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1891948253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610A PECAN KNOLL ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022224",
"telephone_number": "571-305-0762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 BRISTOL ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778021915",
"telephone_number": "571-305-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHERMEL",
"first_name": "KATHRYN",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "107492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.