Active NPI
Michelle Blow Rock, M.S.-CCC, SLP
- Speech-Language Pathologist
- Addison, TX
National Provider Identifier
1184828543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100611
- Practice address
- 4480 Beltway Dr
Addison, TX 75001-3705 - Phone
- (972) 505-6787
- NPI assigned
- Jun 12, 2007
- Last updated
- Jul 8, 2007
- 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 | 100611 | TX | Primary |
Addresses
Primary practice location
4480 Beltway Dr
Addison, TX 75001-3705
Mailing address
4813 Sam Bass Court
Keller, TX 76248-7624
Phone (817) 980-9230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100611 | Other | TX | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100611 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184828543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4813 SAM BASS COURT",
"city": "KELLER",
"state": "TX",
"postal_code": "762487624",
"telephone_number": "817-980-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 BELTWAY DR",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013705",
"telephone_number": "972-505-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "MICHELLE",
"middle_name": "BLOW",
"credential": "M.S.-CCC, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "100611",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.