Individual provider Active NPI

Ilena Rotundo, M.S CCC/SLP

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1558371419
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ3807 Issued in FL
Practice address
3805 Torres Cir
West Palm Beach, FL 33409-8119
Phone
(561) 640-6994
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 SZ3807 FL Primary

Addresses

Primary practice location

3805 Torres Cir
West Palm Beach, FL 33409-8119

Mailing address

3805 Torres Cir
West Palm Beach, FL 33409-8119
Phone (561) 225-0286

Other practice location 1

2300 Palm Beach Lakes Blvd Ste 215K
West Palm Beach, FL 33409-3308
Phone (561) 225-0286

Other identifiers 2

IdentifierTypeStateIssuer
890981400MedicaidFL
21386000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929004052 FL Practitioner - Qualified Speech Language Pathologist 0446524524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ3807FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ilena Rotundo Current Accepting new patients
Telefun Speech Therapy Services LLC Speech-Language Pathologist CurrentSince Aug 24, 2022 Accepting new patients
Ilena Rotundo Current Accepting new patients

Locations

2300 Palm Beach Lakes Blvd
Ste 101
West Palm Beach, FL 33409
Phone (561) 225-0286

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1558371419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 TORRES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098119",
            "telephone_number": "561-225-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 TORRES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098119",
            "telephone_number": "561-640-6994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Palm Beach Lakes Blvd Ste 215K",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334093308",
            "country_code": "US",
            "telephone_number": "561-225-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTUNDO",
        "first_name": "ILENA",
        "credential": "M.S CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ3807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890981400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21386000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.