Individual provider Active NPI

Carla Morrise Tobergte, SLP

  • Speech-Language Pathologist
  • Batavia, OH
National Provider Identifier
1790192664
Registry record updated Jul 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.6777 Issued in OH
Practice address
2040 US Highway 50
Batavia, OH 45103-8694
Phone
(513) 732-7015
NPI assigned
Jul 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 SP.6777 OH Primary

Addresses

Primary practice location

2040 US Highway 50
Batavia, OH 45103-8694

Mailing address

4227 Greenlee Ave
Cincinnati, OH 45217-1847
Phone (513) 242-9499

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
SP.6777OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405123200000",
    "number": "1790192664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 GREENLEE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171847",
            "telephone_number": "513-242-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 US HIGHWAY 50",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451038694",
            "telephone_number": "513-732-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBERGTE",
        "first_name": "CARLA",
        "middle_name": "MORRISE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-12",
        "last_updated": "2014-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.6777",
            "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 Jul 12, 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.