Individual provider Active NPI

Michelle A Botti

  • Speech-Language Pathologist
  • East Windsor, NJ
National Provider Identifier
1275019879
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00760400 Issued in NU
Practice address
569 Abbington Dr Ste H
East Windsor, NJ 08520-5800
Phone
(609) 301-0220
NPI assigned
Jul 17, 2018
Last updated
Dec 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2022

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 NU
Speech-Language Pathologist 235Z00000X 41YS00760400 NU Primary

Addresses

Primary practice location

569 Abbington Dr Ste H
East Windsor, NJ 08520-5800

Mailing address

3 Wright Dr
Chesterfield, NJ 08515-9727

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fun Time Therapy LLC Speech-Language Pathologist CurrentSince Jul 10, 2022 Accepting new patients
Fun Time Therapy Too Speech-Language Pathologist Past Accepting new patients
C & S LLC PastSince Feb 1, 2023 Accepting new patients

Locations

569 Abbington Dr
Ste H
East Windsor, NJ 08520
Phone (609) 301-0220

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1275019879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WRIGHT DR",
            "city": "CHESTERFIELD",
            "state": "NJ",
            "postal_code": "085159727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 ABBINGTON DR STE H",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205800",
            "telephone_number": "609-301-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTI",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "41YS00760400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.