Individual provider Active NPI

Lori Rishi Bartels-Tobin, PH.D.

  • Speech-Language Pathologist
  • St Petersburg, FL
National Provider Identifier
1629289020
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7494 Issued in FL
Practice address
6830 Central Ave
Suite a
St Petersburg, FL 33707-1208
Phone
(727) 823-2529
NPI assigned
May 25, 2007
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 SA7494 FL Primary

Addresses

Primary practice location

6830 Central Ave
Suite a
St Petersburg, FL 33707-1208

Mailing address

3008 Country River Dr
Parrish, FL 34219-9180

Other identifiers 1

IdentifierTypeStateIssuer
889753100MedicaidFL

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SA7494FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Aphasia Center Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1629289020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 COUNTRY RIVER DR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342199180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071208",
            "telephone_number": "727-823-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELS-TOBIN",
        "first_name": "LORI",
        "middle_name": "RISHI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889753100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.