Individual provider Active NPI

Emily Rothenberg, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1972239689
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20235 Issued in FL
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

Updated by the provider on Jul 26, 2022

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
SA20235FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology of Coral Gables, Inc. Speech-Language Pathologist CurrentSince Dec 6, 2022 Accepting new patients
Speech Pathology of Coral Gables, Inc. CurrentSince Jul 31, 2022 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.

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.

Verify at the official NPI Registry.