MEDICARE: RETHINK SPEECH AND OT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1679270540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETHINK SPEECH AND OT SERVICES

Provider Business Mailing Address
First Line	:	54 PINE GROVE RD
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1619
Country	:	US
Telephone Number	:	646-675-7925
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 PINE GROVE RD
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1619
Country	:	US
Telephone Number	:	646-675-7925
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	REBEKAH STROMBOM
Credential	:	M.S., CCC-SLP
Telephone Number	:	646-675-7925

Provider Enumeration Date	:	02/13/2023
Last Update Date	:	02/13/2023

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Directions to “RETHINK SPEECH AND OT SERVICES ” Practice Location

Language	Start Address	Practice Location

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