Individual provider Active NPI

Emily Rexroth, BS SLPA

  • Speech-Language Pathologist
  • El Dorado Hills, CA
National Provider Identifier
1316586696
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
36223 Issued in CA
Practice address
1160 Suncast LN Ste 9
El Dorado Hills, CA 95762-9327
Phone
(530) 728-0757
NPI assigned
Jan 3, 2020
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 36223 CA Primary

Addresses

Primary practice location

1160 Suncast LN Ste 9
El Dorado Hills, CA 95762-9327

Mailing address

1160 Suncast LN Ste 9
El Dorado Hills, CA 95762-9327
Phone (530) 728-0757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301003191 CA Practitioner - Qualified Speech Language Pathologist 1759726581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capuchino Therapy GroupGroup PAC ID 2860554839, 5 clinicians

Practice addresses (Care Compare)

3601 Marconi Ave
Sacramento, CA 95821-5309
Phone (916) 481-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
36223CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Oak Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Apr 27, 2025 Accepting new patients
Capuchino Therapy Group Speech-Language Pathologist CurrentSince Jan 20, 2024 Accepting new patients
Discovery Speech and Language Pathology PastSince Jan 1, 2020 Accepting new patients

Locations

1160 Suncast Ln
Ste 9
El Dorado Hls, CA 95762
Phone (530) 728-0757

9580 Oak Avenue Pkwy
Ste 7118
Folsom, CA 95630

3601 Marconi Ave
Sacramento, CA 95821
Phone (916) 481-1300

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1316586696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 SUNCAST LN STE 9",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629327",
            "telephone_number": "530-728-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SUNCAST LN STE 9",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629327",
            "telephone_number": "530-728-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROTH",
        "first_name": "EMILY",
        "credential": "BS SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "36223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.