Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1518131648 Deactivated / Inactive NPI Female Practitioner

Kathleen Mary Koenig , SLP

Speech-Language Pathologist • Orange Park, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen Koenig has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2008
NPI Deactivation Date February 24, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Kathleen Koenig, SLP was a registered Speech-Language Pathologist practicing in Orange Park, FL. Throughout an active medical career spanning 12 years, Kathleen Koenig provided care at the practice location at 1675 EAGLE HARBOR PKWY until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

1675 Eagle Harbor Pkwy
Suite B

Orange Park, FL 320034802

Telephone 9046370148

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Orange Park, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% 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 SA 9399

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

14 Associated Practitioners
Dr. Crystle Kearley , DPT

Physical Therapist

NPI 1023485141

Doctor of Physical Therapy

Dr. David Salinas , DPT

Physical Therapist

NPI 1073010039

Doctor of Physical Therapy

Dr. Hannah Wedding , OTD, OTR, L

Occupational Therapist

NPI 1154258242

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Dawn Carwile

Physical Therapist

NPI 1174048631
Dr. Caitlynn Morse , DPT

Physical Therapist

NPI 1194535500

Doctor of Physical Therapy

Colin Cerwonka

Physical Therapist

NPI 1215816921

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active April 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2008

Registered at 1675 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 320034802 (Tel: 9046370148)

📍
Updated Business Mailing Address April 18, 2008

Registered at 421 TORTOISE TRCE, SAINT JOHNS, FL 322595460 (Tel: 9042305593)

👤
Provider Name / Credentials Updated April 18, 2008

Recorded as KATHLEEN KOENIG, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2008

Speech-Language Pathologist (License #SA 9399 in FL)

🟢
Initial NPI Registration & Enumeration April 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kathleen Koenig. Be the first to share your experience!

Sign in to leave a review for Kathleen Koenig

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518131648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2008
Last Update: April 18, 2008
Deactivation Date: February 24, 2020

Mailing Address

421 Tortoise Trce

Saint Johns, FL 322595460

Phone: 9042305593

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.