Individual provider Active NPI

Rima M Rajkotia, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Plymouth, MI
National Provider Identifier
1144788027
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22006992A Issued in IN
Practice address
801 W Ann Arbor TRL Ste 200
Plymouth, MI 48170-1694
Phone
(224) 381-8017
NPI assigned
Mar 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 22006992A IN Primary

Addresses

Primary practice location

801 W Ann Arbor TRL Ste 200
Plymouth, MI 48170-1694

Mailing address

5316 Appleseed Way
Indianapolis, IN 46217-3518
Phone (224) 381-8017

Other practice location 1

4141 Shore Dr
Indianapolis, IN 46254-2607
Phone (224) 381-8017

Other practice location 2

2926 N Capitol Ave
Indianapolis, IN 46208-5131
Phone (224) 381-8017

Other identifiers 1

IdentifierTypeStateIssuer
22006992AOtherINSPEECH PATHOLOGIST IN LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Direct

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 Science

State licenses

LicenseStateTypeSpecialty
22006992AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552089600000",
    "number": "1144788027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 APPLESEED WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173518",
            "telephone_number": "224-381-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL STE 200",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701694",
            "telephone_number": "224-381-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542607",
            "country_code": "US",
            "telephone_number": "224-381-8017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2926 N Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462085131",
            "country_code": "US",
            "telephone_number": "224-381-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJKOTIA",
        "first_name": "RIMA",
        "middle_name": "M",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006992A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST IN LICENSE NUMBER",
            "identifier": "22006992A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 W Ann Arbor Trl Ste 200",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.