Individual provider Active NPI

Farrah Libow, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Wellington, FL
National Provider Identifier
1073030706
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14696 Issued in FL
Practice address
3772 Miramontes Cir
Wellington, FL 33414-8826
Phone
(561) 271-3280
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 SA14696 FL Primary

Addresses

Primary practice location

3772 Miramontes Cir
Wellington, FL 33414-8826

Mailing address

3772 Miramontes Cir
Wellington, FL 33414-8826

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TheraNest INTERPLAY ABA

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
SA14696FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1073030706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 MIRAMONTES CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 MIRAMONTES CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148826",
            "telephone_number": "561-271-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBOW",
        "first_name": "FARRAH",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheraNest",
            "affiliation": "Y",
            "affiliationName": "INTERPLAY ABA",
            "address_1": "3066 S Jog Rd",
            "city": "Greenacres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.