Individual provider Active NPI

Kelly T Bach, MA, CCC-SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1932450814
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3105 W Arkansas Ave
Denver, CO 80219-4004
Phone
(303) 936-3497
NPI assigned
Oct 2, 2012
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

3105 W Arkansas Ave
Denver, CO 80219-4004

Mailing address

98 S Emerson St
Apt. 308
Denver, CO 80209-2218
Phone (847) 721-8917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220708000720 WI Practitioner - Occupational Therapist in Private Practice 5092195099 Reassigns benefits to 1 organization
I20220803003715 WI Practitioner - Qualified Speech Language Pathologist 5092195099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Wi LLCGroup PAC ID 1658647581, 144 clinicians

Practice addresses (Care Compare)

2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Dec 2, 2025 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Jun 29, 2022 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients
Fox Rehabilitation Services Wi LLC Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Dec 2, 2025 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Jun 29, 2022 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

7 Carnegie Plz
Cherry Hill, NJ 08003

831 E Washington St
West Bend, WI 53095
Phone (262) 335-1992

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1932450814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 S EMERSON ST",
            "address_2": "APT. 308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092218",
            "telephone_number": "847-721-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W ARKANSAS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194004",
            "telephone_number": "303-936-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "KELLY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.