Organization Active NPI

Erica L. Grub PA

  • Speech-Language Pathologist
  • Weston, FL
National Provider Identifier
1679857080
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6217 Issued in FL
Legal business name
ERICA L. GRUB PA
Practice address
1500 Weston Rd
Suite 214
Weston, FL 33326-3263
Phone
(954) 439-4148
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mrs. Erica Grub, SLP
Title
Speech-Language Pathologist
Phone
(954) 439-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA6217 FL Primary

Addresses

Primary practice location

1500 Weston Rd
Suite 214
Weston, FL 33326-3263

Mailing address

1500 Weston Rd
Suite 214
Weston, FL 33326-3263
Phone (954) 439-4148

National Provider Directory

National Provider Directory

Locations

1500 Weston Rd
Ste 214
Weston, FL 33326
Phone (954) 439-4148

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1679857080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WESTON RD",
            "address_2": "SUITE 214",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263263",
            "telephone_number": "954-439-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WESTON RD",
            "address_2": "SUITE 214",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263263",
            "telephone_number": "954-439-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA L. GRUB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "GRUB",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "954-439-4148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.