Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053465450 Individual Practitioner Female Practitioner

Kimberley Anne Glise , MS CCC-SLP

Speech-Language Pathologist • Rochester, NY

Professional Overview & Biography Verified Profile Summary

Kimberley Glise, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Rochester, NY. Practice services are available at 39 RUTGERS ST APT 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39 Rutgers St Apt 1

Rochester, NY 146072857

Telephone 5858024272

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rochester, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
570 Specialists

Practicing in Rochester, NY (25106 Statewide)

Telehealth Adoption Rate
0.4% 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

CMS Verified: 2025-09-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NV NV SP-797

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100503235 (NV)

Secondary Practice Locations

590 Fishers Station Dr Ste 130

Victor, NY 145649744

Phone: 5859247207

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 05, 2025

Registered at 39 RUTGERS ST APT 1, ROCHESTER, NY 146072857 (Tel: 5858024272)

📍
Updated Business Mailing Address September 05, 2025

Registered at 39 RUTGERS ST APT 1, ROCHESTER, NY 146072857 (Tel: 5858024272)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4600 E SUNSET RD, SUITE 179, HENDERSON, NV 890142202 (Tel: 7024615661)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2373 VIEWCREST RD, HENDERSON, NV 890143156 (Tel: 7024611353)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KIMBERLEY GLISE, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #NV SP-797 in NV)

🟢
Initial NPI Registration & Enumeration January 22, 2007

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: 1053465450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: September 05, 2025
Sole Proprietor: No

Mailing Address

39 Rutgers St Apt 1

Rochester, NY 146072857

Phone: 5858024272

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.