Michael Rothman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53700 Issued in FL

Practice address

1765 SW Captains PL
Palm City, FL 34990-1747

Phone

(772) 266-8727

Fax

(772) 494-7093

NPI assigned

Jun 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Simplyaba, LLC

  • Behavior Analyst
  • Palm City, FL
  • NPI 1306244801
  NPD
• My Favorite Therapists, LLC

  • Behavior Analyst
  • Deerfield Beach, FL
  • NPI 1992153217
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1326428756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SW GRETCHEN TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531929",
            "telephone_number": "203-988-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SW CAPTAINS PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901747",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-18-9350",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-257740",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana R Rohe, LCSW
• Nicole Roldan, APRN
• Hairy Elizabeth Rosa
• Alexandra Rocio Rosas-Merritt, BCBA
• Holly Rotan, ARNP
• Raymond Paul Rowan, DPM
• Alanna Rubin, LM
• Daniel Aaron Rukeyser, D.C.
• Jasmine Russell
• Kristin Ryan, RN

• Behavior Analyst in Palm City, FL
• Providers in Palm City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.