Brooke Rothermel, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00004320 Issued in WA

Practice address

2554 Locust Ave W Ste E
University Place, WA 98466-3561

Phone

(253) 722-9714

Fax

(866) 853-0747

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Speech With Brooke

  • Speech-Language Pathologist
  • University Place, WA
  • NPI 1033505623
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1538232111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 PHILLIPS RD SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986362",
            "telephone_number": "253-722-9712",
            "fax_number": "866-853-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LOCUST AVE W STE E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663561",
            "telephone_number": "253-722-9714",
            "fax_number": "866-853-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERMEL",
        "first_name": "BROOKE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8460263",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Michael Rogers, PSY.D.
• Zahira Rogers, O.T.
• Samantha L Romano
• Donise Rose
• Loretta M Rose
• Darryl W Roundy, DC
• Joseph Rourke IV
• Marilee Amerman Rowe, RN, BSN
• Nichole Roy
• Evangejalynn Rund

• Speech-Language Pathologist in University Place, WA
• Providers in University Place, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.