Kelly Ciezczak
NPI 1326593732ActiveIndividual· Speech-Language Pathologist· Crown Point, IN
Speech-Language Pathologist with Healthpro Heritage Rehab and Fitness LLC and 1 other group, practicing in Crown Point, Indiana. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1326593732 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 16, 2016 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SP-9837-SL | MA |
| Speech-Language Pathologist | 235Z00000X | 22006267A | IN |
| Speech-Language Pathologist | 235Z00000X | 11718 | 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 (IN) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
- Empowerme Rehabilitation Illinois LLCSpringboro, OH · 354 clinicians
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