Active NPI
Rebecca Swig Thorsen, M.S., CCC-SLP
- Speech-Language Pathologist
- Long Beach, CA
National Provider Identifier
1235427147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12193
- Practice address
- 3816 Woodruff Ave
Suite 201
Long Beach, CA 90808 - Phone
- (714) 225-8634
- Fax
- (562) 597-8747
- NPI assigned
- Jul 12, 2011
- 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 | 12193 | CA | Primary |
Addresses
Primary practice location
3816 Woodruff Ave
Suite 201
Long Beach, CA 90808
Mailing address
3816 Woodruff Ave
Suite 201
Long Beach, CA 90808
Phone (714) 225-8634
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12193 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1235427147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE",
"address_2": "SUITE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90808",
"telephone_number": "714-225-8634",
"fax_number": "562-597-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE",
"address_2": "SUITE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90808",
"telephone_number": "714-225-8634",
"fax_number": "562-597-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSEN",
"first_name": "REBECCA",
"middle_name": "SWIG",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "12193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.