Individual provider Active NPI

Rocio Rosales-Terrazas, MSCCC-SLP

  • Speech-Language Pathologist
  • Yuma, AZ
National Provider Identifier
1477897056
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7914 Issued in AZ
Practice address
3802 W 16TH St
Yuma, AZ 85364-4107
Phone
(928) 210-2339
Fax
(928) 276-3825
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP7914 AZ Primary

Addresses

Primary practice location

3802 W 16TH St
Yuma, AZ 85364-4107

Mailing address

4318 W 15TH St
Yuma, AZ 85364-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908003005 AZ Practitioner - Qualified Speech Language Pathologist 3779879242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Cholla Medical Group, Inc PastSince Dec 15, 2006 Accepting new patients
Amy Grulke, PLLC Speech-Language Pathologist PastSince Jan 1, 2020 Accepting new patients
Smart Pediatric Therapy, LLC Speech-Language Pathologist Past Accepting new patients
Piller Child Development LLC Speech-Language Pathologist PastSince Nov 1, 2017 Accepting new patients

Locations

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1477897056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W 15TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644107",
            "telephone_number": "928-210-2339",
            "fax_number": "928-276-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES-TERRAZAS",
        "first_name": "ROCIO",
        "credential": "MSCCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.