Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033478219 Individual Practitioner Male Practitioner

Kathiresan Rajendran , MS, CCC-SLP

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Kathiresan Rajendran, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 12627 SAN JOSE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12627 San Jose Blvd
Ste. 506

Jacksonville, FL 322232662

Telephone 3013000382
Fax 8777363470
Associated Practice Facility / Clinic
🏢 Cardio Options Inc. Facility NPI 1215041603

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA10272

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Corina Espejo , MS CCC-SLP

Speech-Language Pathologist

NPI 1467059667

MSCCCSLP

Patricia Trama

Physical Therapist - Pediatrics

NPI 1548425374
Jessica Dyer , PT

Physical Therapist

NPI 1649405705

Physical Therapist

Jordan Nelsen , PT

Physical Therapist

NPI 1811386162

Physical Therapist

Kristen Buchanan , MS

Speech-Language Pathologist

NPI 1891175014

Master of Science

Dr. Kay Tasso , PT PHD

Physical Therapist

NPI 1922080514

PTPHD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2012

Registered at 12627 SAN JOSE BLVD, STE. 506, JACKSONVILLE, FL 322232662 (Tel: 3013000382)

📍
Updated Business Mailing Address May 09, 2012

Registered at 12627 SAN JOSE BLVD, STE. 506, JACKSONVILLE, FL 322232662 (Tel: 3013000382)

👤
Provider Name / Credentials Updated May 09, 2012

Recorded as KATHIRESAN RAJENDRAN, M.S,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2012

Speech-Language Pathologist (License #SA10272 in FL)

🟢
Initial NPI Registration & Enumeration May 09, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033478219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2012
Last Update: May 09, 2012
Sole Proprietor: No

Mailing Address

12627 San Jose Blvd, Ste. 506

Jacksonville, FL 322232662

Phone: 3013000382

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.