Individual provider Active NPI

Margot B Michelman, M.A. C.C.C. SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1063519957
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA253 Issued in FL
Practice address
6729 Boca Pines TRL Apt B
Boca Raton, FL 33433-7716
Phone
(561) 470-6116
NPI assigned
Sep 20, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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 SA253 FL Primary

Addresses

Primary practice location

6729 Boca Pines TRL Apt B
Boca Raton, FL 33433-7716

Mailing address

6729 Boca Pines TRL Apt B
Boca Raton, FL 33433-7716
Phone (561) 470-6116

Other identifiers 1

IdentifierTypeStateIssuer
8842001MedicaidFL

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

LicenseStateTypeSpecialty
SA253FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1063519957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 BOCA PINES TRL APT B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337716",
            "telephone_number": "561-470-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 BOCA PINES TRL APT B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337716",
            "telephone_number": "561-470-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELMAN",
        "first_name": "MARGOT",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "M.A. C.C.C. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8842001",
            "state": "FL"
        }
    ],
    "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 Jan 17, 2008; 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.