Active NPI
Farrah Libow, M.A. CCC-SLP
- Speech-Language Pathologist
- Wellington, FL
National Provider Identifier
1073030706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14696
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SA14696 | FL | MD | Speech-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.