Souzi Boutros

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3753 Case Rd
Avon, OH 44011-2632

Phone

(216) 310-5000

NPI assigned

May 19, 2020

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

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1962025478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 CASE RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112632",
            "telephone_number": "216-310-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 CASE RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112632",
            "telephone_number": "216-310-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "SOUZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysta N Blechschmid, PT, DPT
• Erica F Boarman, OTR/L
• Roman Boiwka, O.D.
• Meghan Bonhard, MSN, FNP-C
• Dawn Neff Bookshar, PT
• Rachel Elizabeth Bowers, LISW-S
• Ellen Maris Brabant, LPC
• Sandra Kay Bricker, LAT ATC
• Angela Brickner, APRN-CNP
• Abagael Marie Bridwell

• All providers in Avon, OH
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.