Individual provider Active NPI

Peter J Erklauer, MS, SLP-CCC

  • Speech-Language Pathologist
  • Warwick, RI
National Provider Identifier
1023208279
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP00698 Issued in RI
Practice address
124 Country Club Dr
Warwick, RI 02888-4937
Phone
(401) 952-4160
Fax
(401) 228-6764
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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 SP00698 RI Primary

Addresses

Primary practice location

124 Country Club Dr
Warwick, RI 02888-4937

Mailing address

124 Country Club Dr
Warwick, RI 02888-4937
Phone (401) 952-4160

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP00698RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
CBS Therapy 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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1023208279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 COUNTRY CLUB DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028884937",
            "telephone_number": "401-952-4160",
            "fax_number": "401-228-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 COUNTRY CLUB DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028884937",
            "telephone_number": "401-952-4160",
            "fax_number": "401-228-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERKLAUER",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "MS, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP00698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.