Erin Boggs

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009557 Issued in VA

Practice address

3365 Ogden Rd
Roanoke, VA 24018-1151

Phone

(540) 682-7500

NPI assigned

Jul 30, 2020

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

Medicare fee-for-service enrollment

Enrolled in AZ, DC2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Phoenix Mountain Therapy LLCGroup PAC ID 0648797944, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Phoenix Mountain Therapy LLC

  dba Phoenix Mountain Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1053122689

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Washington, DC
  • NPI 1508133661

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Montecito Outpatient Rehabilitation LLC

  dba Montecito Outpatient Rehabilitation

  • Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1578459673

  Speech-Language Pathologist

  Medicare reassignment NPD
• Erin Boggs Speech Therapy

  • Health Service Clinic/Center
  • Washington, DC
  • NPI 1285570317
  NPD Authorized official
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1548879042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLE HAVEN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192203",
            "telephone_number": "540-798-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 OGDEN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181151",
            "telephone_number": "540-682-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8322 Belle Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240192203",
            "country_code": "US",
            "telephone_number": "540-798-5692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Michele Boardwine, PHARM.D.
• Allison Lippert Boatman, MD
• Christopher David Boch, RPH
• Charles Lawrence Bock, CRNA
• Jeanne Bodner, NP
• Tammy Marie Boggs, LPN
• Robert Mark Boguski, DPM
• Angela Bolden, PH.D.
• Latonya Bolden Bolden, LCSW
• Michie Armell Bolden, NP

• Speech-Language Pathologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.