Meesha Tobi Axelrad

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4342 Issued in FL

Practice address

9291 Glades Rd
Boca Raton, FL 33434-3959

Phone

(561) 955-5437

Fax

(561) 483-7044

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760540256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 SEVERN DR APT C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338536",
            "telephone_number": "561-955-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343959",
            "telephone_number": "561-955-5437",
            "fax_number": "561-483-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELRAD",
        "first_name": "MEESHA",
        "middle_name": "TOBI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.