Active NPI
Emily Rothenberg, M.S., CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1972239689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA20235
- Practice address
- 603 SW 57TH Ave
Miami, FL 33144-3919 - Phone
- (305) 774-1788
- Fax
- (305) 774-1789
- NPI assigned
- Jul 26, 2022
- 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 | SA20235 | FL | Primary |
Addresses
Primary practice location
603 SW 57TH Ave
Miami, FL 33144-3919
Mailing address
6840 Granada Blvd
Coral Gables, FL 33146-3824
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@spcg.us | Health Information Exchange (HIE) | Speech Pathology of Coral Gables, Inc. |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA20235 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Pathology of Coral Gables, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Speech Pathology of Coral Gables, Inc. | Current | Accepting new patients |
Locations
603 SW 57th Ave
Miami, FL 33144
Phone (305) 774-1788
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 and National Provider Directory roles.
-
- Clinic/Center
- Miami, FL
- NPI 1093944811
Speech-Language Pathologist
-
- Behavior Analyst
- Miami, FL
- NPI 1467103622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1972239689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 GRANADA BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 SW 57TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331443919",
"telephone_number": "305-774-1788",
"fax_number": "305-774-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHENBERG",
"first_name": "EMILY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA20235",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@spcg.us",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "Speech Pathology of Coral Gables, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "603 SW 57th Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331443919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.