Active NPI
Marcia M Rutberg, SLP
- Speech-Language Pathologist
- Sarasota, FL
National Provider Identifier
1871576207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA5864
- Practice address
- 7269 Oak Moss Dr
Sarasota, FL 34241-6215 - Phone
- (941) 342-8784
- Fax
- (941) 342-8784
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA5864 | FL | Primary |
Addresses
Primary practice location
7269 Oak Moss Dr
Sarasota, FL 34241-6215
Mailing address
7269 Oak Moss Dr
Sarasota, FL 34241-6215
Phone (941) 342-8784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887532400 | Medicaid | FL | |
| S2531 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA5864 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1871576207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7269 OAK MOSS DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342416215",
"telephone_number": "941-342-8784",
"fax_number": "941-342-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7269 OAK MOSS DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342416215",
"telephone_number": "941-342-8784",
"fax_number": "941-342-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTBERG",
"first_name": "MARCIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA5864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887532400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S2531",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.