Individual provider Active NPI

Rebecca Vortkamp, M.A., SLP

  • Speech-Language Pathologist
  • Batavia, OH
National Provider Identifier
1689096554
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2014030 Issued in OH
Practice address
215 Broadway St
Batavia, OH 45103-2803
Phone
(513) 732-0780
Fax
(513) 732-1863
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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 2014030 OH Primary

Addresses

Primary practice location

215 Broadway St
Batavia, OH 45103-2803

Mailing address

2400 Clermont Center Dr
Batavia, OH 45103-1990
Phone (513) 735-8300

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2014030OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1689096554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CLERMONT CENTER DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031990",
            "telephone_number": "513-735-8300",
            "fax_number": "513-735-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BROADWAY ST",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032803",
            "telephone_number": "513-732-0780",
            "fax_number": "513-732-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORTKAMP",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "M.A., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2014030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.