Mira Rotter

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

454 Rock Glen Dr
Wynnewood, PA 19096-2619

Phone

(610) 547-1626

NPI assigned

Oct 25, 2018

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Geller and Grossman Speech Services

  • Early Intervention Provider Agency
  • Wynnewood, PA
  • NPI 1659732303
  NPD (past)
• Happy Talk Speech and Language Therapy PC

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1174069165
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1437626603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 CHESTNUT ST APT 816",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ROCK GLEN DR",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962619",
            "telephone_number": "610-547-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 W 14th St Ste 505",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117403",
            "country_code": "US",
            "telephone_number": "732-547-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTTER",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Patrick Ross, MD
• Patrick Ross Jr., M.D., PH.D.
• Elizabeth Roth, MD
• Gina E Rothermel, LCSW
• Steven Rothman, MD
• Rowe Dermatology, PLLC
• David L Rubenstein, MD
• Melissa Malkin Rubin, DO
• Lori Rugg, CRNP
• Scott Allen Rushton, M.D.

• Speech-Language Pathologist in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.