Individual provider Active NPI

Rachel Azizollahoff-Friedman

  • Speech-Language Pathologist
  • Coral Springs, FL
National Provider Identifier
1629446828
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111876 Issued in TX
Practice address
1697 Cypress Pointe Dr
Coral Springs, FL 33071-4286
Phone
(607) 237-1839
NPI assigned
Sep 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 111876 TX Primary

Addresses

Primary practice location

1697 Cypress Pointe Dr
Coral Springs, FL 33071-4286

Mailing address

1697 Cypress Pointe Dr
Coral Springs, FL 33071-4286
Phone (607) 237-1839

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111876TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1629446828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1697 CYPRESS POINTE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714286",
            "telephone_number": "607-237-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 CYPRESS POINTE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714286",
            "telephone_number": "607-237-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZOLLAHOFF-FRIEDMAN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.