Emily Rachel Balloff, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10332 Issued in MD

Practice address

199 Isle Verde Way
Palm Beach Gardens, FL 33418-1710

Phone

(305) 773-4771

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1235841503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 ISLE VERDE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181710",
            "telephone_number": "305-773-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ISLE VERDE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181710",
            "telephone_number": "305-773-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOFF",
        "first_name": "EMILY",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6785",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadia Baker
• Sophia Baker
• Richard H Bakst, DPM PA
• Margaret Lee Ballard, RN LCSW
• Marlia Ballesteros
• Christine Elizabeth Bandy, M.S.,R.D.,LD/N,CDE
• Wiktor P Bania, MPT
• Cara Bantom-O'Neill
• Baptist Health Surgery Center, LLC
• Kristin Barahona

• All providers in Palm Beach Gardens, FL
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.