Active NPI
Ilene Renee Rotman, M.S. CCC-SLP
- Speech-Language Pathologist
- Cooper City, FL
National Provider Identifier
1376670984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8817
- Practice address
- 9508 Griffin Rd
Cooper City, FL 33328-3416 - Phone
- (954) 689-0730
- Fax
- (877) 811-2570
- NPI assigned
- Feb 28, 2007
- Last updated
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | SA8817 | FL | Primary |
Addresses
Primary practice location
9508 Griffin Rd
Cooper City, FL 33328-3416
Mailing address
7621 Ventura LN
Parkland, FL 33067-2302
Phone (954) 236-4495
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)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Cooper City, FL
- NPI 1710122593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1376670984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7621 VENTURA LN",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330672302",
"telephone_number": "954-236-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9508 GRIFFIN RD",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333283416",
"telephone_number": "954-689-0730",
"fax_number": "877-811-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTMAN",
"first_name": "ILENE",
"middle_name": "RENEE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
- Shawn Franke Rodwin, LMHC
- Jessica Lynne Roesch, ARNP
- Rolando a. Toulon, DC, PA
- Romain Rehabilitation Center, LLC (Neuro Fit 360)
- Alexandra Rosche, MS CCC-SLP
- Royal MG3 of Davie, Opco, LLC (Oakmonte VIllage of Davie)
- Diana Margarita Rubi, MS
- Ryley Group Inc.
- Jennifer L Sacharow, M.A., ITDS
- Safe 4 Seniors LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.