Active NPI
Marysabel Mejia
- Speech-Language Pathologist
- Cooper City, FL
National Provider Identifier
1083272678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 81356
- Practice address
- 9773 Darlington PL
Cooper City, FL 33328-5831 - Phone
- (917) 822-8630
- NPI assigned
- May 30, 2019
- Last updated
- May 30, 2019
- 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 | 81356 | FL | Primary |
Addresses
Primary practice location
9773 Darlington PL
Cooper City, FL 33328-5831
Mailing address
16751 NE 9TH Ave Apt 210
North Miami Beach, FL 33162-2531
Phone (617) 997-5403
Other practice location 1
9773 Darlington Pl
Cooper City, FL 33328-5831
Phone (917) 822-8630
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81356 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Love Therapy, PA | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Orlando, FL
- NPI 1467367631
-
- Speech-Language Pathologist
- Cooper City, FL
- NPI 1013428762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1083272678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16751 NE 9TH AVE APT 210",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331622531",
"telephone_number": "617-997-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9773 DARLINGTON PL",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285831",
"telephone_number": "917-822-8630"
}
],
"practiceLocations": [
{
"address_1": "9773 Darlington Pl",
"address_purpose": "LOCATION",
"city": "Cooper City",
"state": "FL",
"postal_code": "333285831",
"country_code": "US",
"telephone_number": "917-822-8630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEJIA",
"first_name": "MARYSABEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "81356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.