Individual provider Active NPI

Hallie Rosenblatt

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1003100736
Registry record updated May 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7654 Issued in FL
Practice address
23038 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654
Phone
(561) 702-6141
Fax
(561) 620-2581
NPI assigned
May 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7654 FL Primary

Addresses

Primary practice location

23038 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654

Mailing address

5384 Grand Park PL
Boca Raton, FL 33486-1451
Phone (561) 417-9604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA7654FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedia-Speech, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1003100736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 GRAND PARK PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861451",
            "telephone_number": "561-417-9604",
            "fax_number": "561-620-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23038 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286654",
            "telephone_number": "561-702-6141",
            "fax_number": "561-620-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "HALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.