Individual provider Active NPI

Phillip Mican Erkkila, M.A. CF-SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1003249921
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ 6209 Issued in FL
Practice address
950 Peninsula Corporate Cir
Suite 1014
Boca Raton, FL 33487-1378
Phone
(561) 994-6590
NPI assigned
Aug 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 SZ 6209 FL Primary

Addresses

Primary practice location

950 Peninsula Corporate Cir
Suite 1014
Boca Raton, FL 33487-1378

Mailing address

1111 Westwood Ave
Kingsford, MI 49802-6601
Phone (906) 396-1764

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SZ 6209FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandler Rehab Services, Inc. Speech-Language Pathologist Past Accepting new patients
Speech Rehab Services LLC Past Accepting new patients

Organizations & group practices 2

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1003249921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WESTWOOD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498026601",
            "telephone_number": "906-396-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR",
            "address_2": "SUITE 1014",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871378",
            "telephone_number": "561-994-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERKKILA",
        "first_name": "PHILLIP",
        "middle_name": "MICAN",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 6209",
            "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 Aug 14, 2013; 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.