Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083854608 Individual Practitioner Female Practitioner

Kimberly Bourke , CCC-SLP

Speech-Language Pathologist • Plainview, NY

Professional Overview & Biography Verified Profile Summary

Kimberly Bourke, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Plainview, NY. Practice services are available at 255 EXECUTIVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 Executive Dr

Plainview, NY 118031718

Telephone 5165762040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Plainview, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
178 Specialists

Practicing in Plainview, NY (25106 Statewide)

Telehealth Adoption Rate
0.6% 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 NY 015891

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

40 Associated Practitioners
NPI 1003179789

SPECIALEDUCATIONM

Kylie Vitale

Speech-Language Pathologist

NPI 1013520980
NPI 1023373792

Master of Science in Education

Dana Bubolo , MA

Speech-Language Pathologist

NPI 1023598976

Master of Arts

Amy Cohen , MA

Specialist

NPI 1043350002

Master of Arts

Megan Schmulbach , OTR

Occupational Therapist

NPI 1043525777

Occupational Therapist Registered

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2009

Registered at 255 EXECUTIVE DR, PLAINVIEW, NY 118031718 (Tel: 5165762040)

📍
Updated Business Mailing Address February 22, 2009

Registered at 200 N 4TH ST, BETHPAGE, NY 117142004 (Tel: 5169352070)

👤
Provider Name / Credentials Updated February 22, 2009

Recorded as KIMBERLY BOURKE, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2009

Speech-Language Pathologist (License #015891 in NY)

🟢
Initial NPI Registration & Enumeration February 22, 2009

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: 1083854608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2009
Last Update: February 22, 2009
Sole Proprietor: No

Mailing Address

200 N 4th St

Bethpage, NY 117142004

Phone: 5169352070

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.