Mae Keogh
NPI 1235837972ActiveIndividual· Speech-Language Pathologist· Kinston, NC
Speech-Language Pathologist with Broad River Rehabilitation, practicing in Kinston, North Carolina. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1235837972 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 22, 2023 |
| Last updated in NPPES | Feb 22, 2023 |
| Certified by provider | Feb 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 15569 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NC) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Broad River RehabilitationCharlotte, NC · 202 clinicians
Other speech-language pathologists in Kinston
- 1174770838
- 1518249614
- 1720936826
- 1063945988