Active NPI
Chantal Peraggine
- Speech-Language Pathologist
- South Daytona, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00579700
- Practice address
- 917 Beville Rd
Suite G
South Daytona, FL 32119-1712 - Phone
- (800) 330-7711
- Fax
- (866) 426-2811
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 41YS00579700 | NJ | Primary |
Addresses
Primary practice location
917 Beville Rd
Suite G
South Daytona, FL 32119-1712
Mailing address
115 Robertsville Rd
Manalapan, NJ 07726-2830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MD, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11324 | MD | MD | General Practice Dentistry |
| 41YS00579700 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients | |
| Fox Rehab SLP MD LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
7 Carnegie Plz
Cherry Hill, NJ 08003
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
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 and National Provider Directory roles.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
NJ, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Timonium, MD
- NPI 1306184924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544227200000",
"number": "1306077813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROBERTSVILLE RD",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077262830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 BEVILLE RD",
"address_2": "SUITE G",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321191712",
"telephone_number": "800-330-7711",
"fax_number": "866-426-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAGGINE",
"first_name": "CHANTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2018-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00579700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.