Individual provider Active NPI

Leslie Pachtman, M.ED

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1952575466
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9139 Issued in FL
Practice address
160 NW 4TH St
Boca Raton, FL 33432-3826
Phone
(561) 391-8444
Fax
(561) 391-6238
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9139 FL Primary
Developmental Therapist 222Q00000X SA9139 FL

Addresses

Primary practice location

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

Mailing address

4404 Woodfield Blvd
Boca Raton, FL 33434-5304
Phone (561) 445-3647

Other identifiers 1

IdentifierTypeStateIssuer
889951700MedicaidFL

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 Education

State licenses

LicenseStateTypeSpecialty
SA9139FLMDSpeech-Language Pathologist

Practice roles

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1952575466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 WOODFIELD BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345304",
            "telephone_number": "561-445-3647",
            "fax_number": "561-994-9520"
        },
        {
            "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": "561-391-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHTMAN",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9139",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA9139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889951700",
            "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 Jun 5, 2012; 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.