Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033802426 Individual Practitioner Female Practitioner

Kylie Peterson , MA CCC-SLP

Specialist/Technologist • El Reno, OK

Professional Overview & Biography Verified Profile Summary

Kylie Peterson, MA CCC-SLP is a registered healthcare professional specializing in Specialist/Technologist in El Reno, OK. Practice services are available at 1609 W ELM ST STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1609 W Elm St Ste B

El Reno, OK 730364261

Telephone 4054676782
Fax 4054676100
Associated Practice Facility / Clinic
🏢 Complete Rehab, Llc Facility NPI 1497178156

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in El Reno, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in El Reno, OK (32 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

CMS Verified: 2024-09-12
Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 235500000X

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

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
Leigh Hibbard , CCC-SLP

Speech-Language Pathologist

NPI 1003534421

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1013473313

Physical Therapist, Doctor of Physical Therapy

Aubrey Ralstin , BCBA

Behavior Analyst

NPI 1023784931

Board Certified Behavior Analyst

Abigail Mohr , OTR, L

Occupational Therapist - Pediatrics

NPI 1033994934

Occupational Therapist Registered, L

Elka Ford , COTA, L

Occupational Therapy Assistant

NPI 1043890429

Certified Occupational Therapy Assistant, L

Cara Mayberry

Specialist/Technologist

NPI 1043949076

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated September 12, 2024

Recorded as KYLIE PETERSON, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Specialist/Technologist

NPI Profile Active May 31, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2023

Registered at 1609 W ELM ST STE B, EL RENO, OK 730364261 (Tel: 4054676782)

📍
Updated Business Mailing Address May 31, 2023

Registered at 1824 COMMONS CIR STE B, YUKON, OK 730999538 (Tel: 4054676782)

👤
Provider Name / Credentials Updated May 31, 2023

Recorded as KYLIE PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2023

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration May 31, 2023

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: 1033802426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2023
Last Update: September 12, 2024
Sole Proprietor: Yes

Mailing Address

1824 Commons Cir Ste B

Yukon, OK 730999538

Phone: 4054676782

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.