Active NPI
Daniela Portnoy, MA
- Speech-Language Pathologist
- Boca Raton, FL
National Provider Identifier
1053021642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10939
- Practice address
- 21100 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428-1714 - Phone
- (561) 852-5099
- NPI assigned
- Dec 5, 2022
- Last updated
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ10939 | FL | Primary |
Addresses
Primary practice location
21100 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428-1714
Mailing address
21543 Coronado Ave
Boca Raton, FL 33433-7538
Phone (103) 422-9390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Intergy | Health Information Exchange (HIE) |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10939 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruth & Norman Rales Jewish Family Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
21100 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428
Phone (561) 852-3333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ruth & Norman Rales Jewish Family Services
- Occupational Therapist
- Boca Raton, FL
- NPI 1982352092
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1053021642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21543 CORONADO AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337538",
"telephone_number": "103-422-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21100 RUTH AND BARON COLEMAN BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281714",
"telephone_number": "561-852-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNOY",
"first_name": "DANIELA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10939",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Intergy",
"affiliation": "N",
"endpointDescription": "EHR database",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Evaluations, reports, ntoes",
"address_1": "21100 Ruth and Baron Coleman Blvd",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334281714",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.