Individual provider Active NPI

Marysabel Mejia

  • Speech-Language Pathologist
  • Cooper City, FL
National Provider Identifier
1083272678
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
81356 Issued in FL
Practice address
9773 Darlington PL
Cooper City, FL 33328-5831
Phone
(917) 822-8630
NPI assigned
May 30, 2019
Last updated
May 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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 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

LicenseStateTypeSpecialty
81356FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.