Individual provider Active NPI

Rachel Sami Levenbaum

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1225713639
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA22518 Issued in FL
Practice address
3335 N University Dr # 5
Hollywood, FL 33024-2230
Phone
(954) 442-9422
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 SA22518 FL Primary

Addresses

Primary practice location

3335 N University Dr # 5
Hollywood, FL 33024-2230

Mailing address

10745 Richmond PL
Hollywood, FL 33026-4910
Phone (954) 801-4362

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
SA22518FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1225713639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 RICHMOND PL",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264910",
            "telephone_number": "954-801-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N UNIVERSITY DR # 5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242230",
            "telephone_number": "954-442-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENBAUM",
        "first_name": "RACHEL",
        "middle_name": "SAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA22518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.