MRS. KELLY KONGVOLD-GLASS (NPI# 1255584512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255584512 |
| Entity Type | Individual |
| Full Name | MRS. KELLY KONGVOLD-GLASS |
| Credential | MS, CCC-SLP |
| Practice Address |
14 Bridgewaters Dr Ste A Oceanport NJ 07757-1184 |
| Practice Telephone | 7325426600 |
| Practice Fax Number | 7325426606 |
| Mailing Telephone | 7325426600 |
| Mailing Fax Number | 7325426606 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 016527-1 | NY | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 41YS00578000 | NJ | Speech, Language and Hearing Service Providers |
| Street Address |
14 BRIDGEWATERS DR STE A |
| City | OCEANPORT |
| State | NJ |
| Zip Code | 07757-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598951097 | Christina Miranda | Occupational Therapy Assistant | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2007-09-18 |
| 1821425349 | Judith Shapanka | Speech-Language Pathologist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2013-09-29 |
| 1104171156 | Stacia T Bryant | Physical Therapist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2012-07-16 |
| 1578832291 | Donna M White | Physical Therapist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2011-12-27 |
| 1689805863 | Laura Gray | Speech-Language Pathologist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2009-08-05 |
| 1376729038 | Jill Hrychynszyn | Occupational Therapist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2008-01-12 |
| 1114102431 | Robin Klohr | Speech-Language Pathologist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2008-01-05 |
| 1467641308 | Kristin S Trezza | Speech-Language Pathologist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2007-10-16 |
| 1992994834 | Carolyn Kline | Occupational Therapy Assistant | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2007-10-16 |
| 1871789040 | Jodi Gardner | Occupational Therapist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760712129 | Danielle A Clarke | Social Worker | 10 Asylum St., Milford, MA 07757 | 2010-01-07 |
| 1609903277 | Lauren Labrecque Gallagher | Occupational Therapist | 15 Bridgewaters Dr., Suite A, Oceanport, NJ 07757 | 2007-02-28 |
| 1477689826 | Benita Isabel Mancini-ajello | Speech-Language Pathologist | 14 Bridgewaters Drive, Suite A, Oceanport, NJ 07757 | 2007-02-27 |
| 1154411544 | Kostantinos Linardakis | Chiropractor | 1000 Sanger Avenue, Suite #205, Oceanport, NJ 07757 | 2006-10-13 |
| 1760580666 | Carolyn Watts | Occupational Therapist | 64 Genessee Ave, Oceanport, NJ 07757 | 2006-09-21 |
| 1861949984 | Beacon Infusion Health Services LLC | Clinic/Center | 1075 Stephenson Avenue, Suite D-2, Oceanport, NJ 07757 | 2016-09-07 |
| 1942678396 | Acutecare Health System | PACE Provider Organization | 1075 Stephenson Ave, Oceanport, NJ 07757 | 2015-09-02 |
| 1083097745 | Shore Kids Pediatric Therapies, LLC | Specialist | 14 Bridgewaters Dr, Oceanport, NJ 07757 | 2015-06-30 |
| 1831595610 | Stacey Telenson | Nurse Practitioner | 1945 New Jersey 33, Neptune, NJ 07757 | 2014-11-06 |
| 1801146287 | Abilities In Action, LLC | Clinic/Center | 14 Bridgewaters Drive, Suite A, Oceanport, NJ 07757 | 2012-09-13 |
| Find all providers in zip 07757 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932405396 | Small Bite Solutions, LLC | Speech-Language Pathologist | 113 S Pemberton Ave, Oceanport, NJ 07757-1011 | 2011-02-02 |
| 1477689826 | Benita Isabel Mancini-ajello | Speech-Language Pathologist | 14 Bridgewaters Drive, Suite A, Oceanport, NJ 07757 | 2007-02-27 |
| 1821425349 | Judith Shapanka | Speech-Language Pathologist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2013-09-29 |
| 1073856472 | Lindsey C Mcpherson | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2013-04-03 |
| 1538439765 | Michelle Plesser | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2012-01-04 |
| 1043596554 | Jennifer Carlisle Walk | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2011-10-27 |
| 1972809333 | Lauren Jacobson | Speech-Language Pathologist | 113 S Pemberton Ave, Oceanport, NJ 07757-1011 | 2011-02-02 |
| 1538473236 | Sarah Dorn | Speech-Language Pathologist | 14 Bridgewaters Dr, Oceanport, NJ 07757-1162 | 2010-08-05 |
| 1689805863 | Laura Gray | Speech-Language Pathologist | 14 Bridgewaters Dr Ste A, Oceanport, NJ 07757-1184 | 2009-08-05 |
| 1841463395 | Linda Hakim | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2008-04-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.