STEPHANIE ELLEN RUKTANTICHOKE CCC-SLP
NPI 1699031112
Speech-Language Pathologist in Crestwood, IL
NPI Status: Active since April 10, 2012
Contact Information
14255 CICERO AVE
CRESTWOOD, IL
ZIP 60445
Phone: (708) 371-0400
- Individual
- Female
- Speech-Language Pathologist
About STEPHANIE RUKTANTICHOKE
This page provides the complete NPI Profile along with additional information for Stephanie Ruktantichoke, a provider established in Crestwood, Illinois with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1699031112 assigned on April 2012. The practitioner's primary taxonomy code is 235Z00000X with license number 146010926 (IL). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1699031112
- Provider Name
- STEPHANIE ELLEN RUKTANTICHOKE CCC-SLP
- Other Name
- STEPHANIE ELLEN BRIDGEMAN CCC-SLP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14255 CICERO AVE CRESTWOOD, IL 60445
- Location Phone
- (708) 371-0400
- Mailing Address
- 7830 SAGEMARK RIDGE DR CYPRESS, TX 77433
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-10-2012
- Last Update Date
- 04-10-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 146010926
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 105353 (TX) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 0 | 3 | 1 | 1 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 0 | 3 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 0 + 3 + 2 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1699031112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831120104 | JERALDENE SHAFFER NP Individual | Nurse Practitioner | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1932489028 | MR. JAMES RICHARD SWARTZ JR. OTR/L Individual | Occupational Therapist | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1669749917 | SYMPHONY CRESTWOOD LLC Organization | Skilled Nursing Facility | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1306100847 | MS. CLARE ARQUILLA M.S. Individual | Speech-Language Pathologist | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1679886774 | THEA ESCUADRA PT Individual | Physical Therapist | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1598194219 | AMANDA FERAGEN M.H.S. Individual | Speech-Language Pathologist | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1013993237 | CRESTWOOD CARE CENTRE LP Organization | Skilled Nursing Facility | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
| 1093821522 | DIRECT DIALYSIS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 824-9200 |
| 1063842672 | EMILY COLEMAN Individual | Occupational Therapist | 14255 CICERO AVE CRESTWOOD, IL 60445 (708) 371-0400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699031112, enumerated in the NPI registry as an "individual" on April 10, 2012
The provider is located at 14255 Cicero Ave Crestwood, Il 60445 and the phone number is (708) 371-0400
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
This NPI record was last updated on April 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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