Mumtaz Shaik, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2824 Issued in NC

Practice address

1223 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-5126

Phone

(252) 537-1215

Fax

(252) 537-1816

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Hendersonville, NC
  • NPI 1336890086
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1235350422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7594",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040594",
            "telephone_number": "252-443-0808",
            "fax_number": "252-451-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 JULIAN R ALLSBROOK HWY",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705126",
            "telephone_number": "252-537-1215",
            "fax_number": "252-537-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "MUMTAZ",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412988",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Schrum
• Deepak Udupa Sekaran, M.D.
• Meena Sekaran, MD
• Narayanachar C Sekaran, MD
• Serene Home Health Care, LLC.
• Mohamad A Shakir, M.D.
• Shauna K Daniels, LCSW
• Diane Shaw
• Kimberly Moseley Shearin, FNP
• Taylor Shepardson

• Speech-Language Pathologist in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.