Rachel Petrin, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00777700 Issued in NJ

Practice address

204 Ark Rd # 103C
Mount Laurel, NJ 08054-3100

Phone

(856) 492-1355

NPI assigned

Feb 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Egbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1407394489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 KEARNY AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311119",
            "telephone_number": "609-713-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD # 103C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-492-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Stecher Ave",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "08075",
            "country_code": "US",
            "telephone_number": "856-492-1355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 Kearny Ave",
            "address_purpose": "LOCATION",
            "city": "Forked River",
            "state": "NJ",
            "postal_code": "087311119",
            "country_code": "US",
            "telephone_number": "609-713-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIN",
        "first_name": "RACHEL",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00777700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "EGBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Dean Perzin, M.D.
• Annie Elizabeth Petela, M.A., BCBA
• Tanae Peterson-Evans, BCBA
• John W. Peterson, M.D.
• Kristina Lee Peterson, BCBA
• Frank P Pettinelli, D.O.
• Colleen E Pflaumer, OTR/L
• Mary-Kate Phillips
• Phoenix Housecall Associates of South Jersey
• Phoenix Medical Group

• Speech-Language Pathologist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.