Active NPI
Erica Petty, MS CCC SLP
- Speech-Language Pathologist
- Sarasota, FL
National Provider Identifier
1073994414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 10409
- Practice address
- 3882 Central Sarasota Pkwy
Sarasota, FL 34238-3046 - Phone
- (877) 407-3422
- NPI assigned
- Jun 11, 2015
- 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 | SP 10409 | OH | Primary |
Addresses
Primary practice location
3882 Central Sarasota Pkwy
Sarasota, FL 34238-3046
Mailing address
27074 Rose Rd
Westlake, OH 44145-5464
Other practice location 1
8450 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (877) 407-3422
Other practice location 2
27074 Rose Rd
Westlake, OH 44145-5464
Phone (814) 270-7901
Other names 1
- Erica Devich
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab SLP FL LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab SLP FL LLC |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 10409 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1073994414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27074 ROSE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3882 CENTRAL SARASOTA PKWY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342383046",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [
{
"address_1": "8450 Lockwood Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342432920",
"country_code": "US",
"telephone_number": "877-407-3422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27074 Rose Rd",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441455464",
"country_code": "US",
"telephone_number": "814-270-7901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETTY",
"first_name": "ERICA",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 10409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab SLP FL LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "8450 Lockwood Ridge Rd",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342432920",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab SLP FL LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "3882 Central Sarasota Pkwy",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342383046",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERICA",
"last_name": "DEVICH",
"credential": "MS CCC SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.