Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly I Rodenbach, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063932333

Kelly I Rodenbach, MSCCC-SLP is a Qualified Speech Language Pathologist in Lakewood, New Jersey. Qualified in 2011, 15 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2017
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Practice location Address checks out

25 Ford Ave
Lakewood, NJ 08701-5660
Phone: (215) 550-1360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1063932333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESJune 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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