Individual provider Active NPI

Christina Rose Groff

  • Speech-Language Pathologist
  • Broomall, PA
National Provider Identifier
1215552492
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014179 Issued in PA
Practice address
138 3Rd Ave
Broomall, PA 19008-2318
Phone
(610) 955-3178
NPI assigned
Jun 12, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA16529 FL
Speech-Language Pathologist 235Z00000X SL014179 PA Primary

Addresses

Primary practice location

138 3Rd Ave
Broomall, PA 19008-2318

Mailing address

138 3Rd Ave
Broomall, PA 19008-2318
Phone (610) 955-3178

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina.groff@presencelearning.com Direct PresenceLearning, Inc.

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
SA16529FLMDSpeech-Language Pathologist
SL014179PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1215552492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 3RD AVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082318",
            "telephone_number": "610-955-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 3RD AVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082318",
            "telephone_number": "610-955-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "CHRISTINA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16529",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.groff@presencelearning.com",
            "affiliation": "Y",
            "endpointDescription": "e-mail",
            "affiliationName": "PresenceLearning, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "580 Market St",
            "address_2": "6th Floor",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941045403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.