Individual provider Active NPI

Courtney Fortenbery Rossi, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Castro Valley, CA
National Provider Identifier
1457700486
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
25613 Issued in CA
Practice address
20212 Redwood Rd Ste 202B
Castro Valley, CA 94546-4375
Phone
(704) 530-4462
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10597 CA
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 25613 CA Primary

Addresses

Primary practice location

20212 Redwood Rd Ste 202B
Castro Valley, CA 94546-4375

Mailing address

20212 Redwood Rd Ste 202B
Castro Valley, CA 94546-4375
Phone (704) 530-4462

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25613CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rossi Pediatric Therapy Services, Inc. Single Specialty CurrentSince Jun 25, 2023 Accepting new patients
Rossi Pediatric Therapy Services Single Specialty CurrentSince Feb 13, 2022 Accepting new patients
Therapy at Play, Inc Speech-Language Pathologist Past Accepting new patients

Locations

20212 Redwood Rd
Ste 202B
Castro Valley, CA 94546
Phone (510) 274-5590

20212 Redwood Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 274-5590

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1457700486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 202B",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464375",
            "telephone_number": "704-530-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 202B",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464375",
            "telephone_number": "704-530-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENBERY ROSSI",
        "first_name": "COURTNEY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-02-09",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10597",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.