Inna Revich

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ6748 Issued in FL

Practice address

8368 Via Serena
Boca Raton, FL 33433

Phone

(773) 719-9024

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1013318930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8368 VIA SERENA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8368 VIA SERENA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "773-719-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVICH",
        "first_name": "INNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restore Pelvic Health & Rehab LLC
• Carlos Andres Restrepo, L.AC
• Isabel Restrepo I
• Revamed Center for Emotional Wellbeing, LLC
• Revamed Healthcare Partners LLC
• Revival Health Services LLC
• Revival Therapy LLC
• Revive Counseling LLC
• Revive Family Chiropractic LLC
• Revive Management Company LLC

• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.