Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Antushevich Roman

Individual provider Speech-Language Pathologist · NPI 1366917551

Kimberly Antushevich Roman is a Qualified Speech Language Pathologist in Troy, Michigan. Qualified in 1995, 31 years ago. Practices with Fox Rehabilitation Services Mi LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2018

Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-0660
Fax: (248) 964-0665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101001147 (MI)

Record details

NPI number1366917551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Fox Rehabilitation Services Mi Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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