Individual provider Active NPI

Paula S. Perretz

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1932375458
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8612 Issued in FL
Practice address
160 NW 4TH St
Boca Raton, FL 33432-3826
Phone
(561) 391-8444
Fax
(561) 391-6823
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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 SA 8612 FL Primary

Addresses

Primary practice location

160 NW 4TH St
Boca Raton, FL 33432-3826

Mailing address

160 NW 4TH St
Boca Raton, FL 33432-3826
Phone (561) 391-8444

Other identifiers 1

IdentifierTypeStateIssuer
SA 8612MedicaidFL

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
SA 8612FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey B Greenwald Ms CCC PA Past Accepting new patients
Greenwald DC PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1932375458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 4TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323826",
            "telephone_number": "561-391-8444",
            "fax_number": "561-391-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 4TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323826",
            "telephone_number": "561-391-8444",
            "fax_number": "561-391-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRETZ",
        "first_name": "PAULA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA 8612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.