Emma Jane Rewerts

Individual provider Active NPI Speech-Language Pathologist · Peculiar, MO

NPI 1992429419 · NPPES record last updated Sep 28, 2022

Key facts

NPI
1992429419
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
20220236888 (MO)
Practice address
21005 S School Rd
Peculiar, MO 64078-9346
Phone
(816) 892-1800
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
20220236888MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Playabilities for Sensational Kids, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MO
Speech-Language Pathologist 235Z00000X 20220236888 MO Yes

Addresses

Primary practice location

21005 S School Rd
Peculiar, MO 64078-9346

Mailing address

21005 S School Rd
Peculiar, MO 64078-9346

Other practice location 1

14160 S Darnell Ct
Olathe, KS 66062-6505
Phone (913) 302-7917

Other providers in Peculiar, MO

All providers in Peculiar, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.