Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1275734949 Deactivated / Inactive NPI Male Practitioner

Kenneth Edward Anderson , MS CCC SLP

Speech-Language Pathologist • Gary, IN

⚠️

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, Kenneth Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2007
NPI Deactivation Date January 25, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Anderson, MS CCC SLP was a registered Speech-Language Pathologist practicing in Gary, IN. Throughout an active medical career spanning 16 years, Kenneth Anderson provided care at the practice location at 2350 TAFT ST until profile deactivation on 2023-01-25.

Practice Location & Contact Primary Location

Practice Address

2350 Taft St
Timberview Health Care Center

Gary, IN 46407

Telephone 2199772600
Fax 2197643447
Associated Practice Facility / Clinic
🏢 Major Hospital Facility NPI 1306953740

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Gary, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Gary, IN (3038 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 IN 22000118A

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

9 Associated Practitioners
Gay Geulen , PT

Physical Therapist

NPI 1144436999

Physical Therapist

Jeanine Davis , COTA

Occupational Therapy Assistant

NPI 1164794897

Certified Occupational Therapy Assistant

Meicell Amor Diapana , RPT

Physical Therapist

NPI 1295937878

Registered Physical Therapist

Rey Sararana

Physical Therapist

NPI 1346465655
James Geulen Jr. , RPT

Physical Therapist

NPI 1376769448

Registered Physical Therapist

Melissa Villagomez , CFY-SLP

Speech-Language Pathologist

NPI 1487934451

CFYSLP

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 25, 2023

Record deactivated on January 25, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2350 TAFT ST, TIMBERVIEW HEALTH CARE CENTER, GARY, IN 46407 (Tel: 2199772600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6453 PORTAGE AVE, PORTAGE, IN 46368 (Tel: 2196887723)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ANDERSON, MS CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #22000118A in IN)

🟢
Initial NPI Registration & Enumeration May 30, 2007

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 Kenneth Anderson. Be the first to share your experience!

Sign in to leave a review for Kenneth Anderson

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

NPI Administrative Meta

NPI Number: 1275734949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: July 08, 2007
Deactivation Date: January 25, 2023

Mailing Address

6453 Portage Ave

Portage, IN 46368

Phone: 2196887723

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.