Active NPI
Christine Rothermel, M.S., CCC-SLP
- Speech-Language Pathologist
- Ann Arbor, MI
National Provider Identifier
1982976510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004696
- Practice address
- 1540 E Medical Center Dr # 12358C&W
Ann Arbor, MI 48109-0100 - Phone
- (734) 763-4003
- NPI assigned
- Jan 27, 2012
- 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 | 7101004696 | MI | Primary |
Addresses
Primary practice location
1540 E Medical Center Dr # 12358C&W
Ann Arbor, MI 48109-0100
Mailing address
1500 E. Medical Center Dr
1D203 Uh
Ann Arbor, MI 48109-5000
Phone (734) 634-8198
Other practice location 1
2240 Campus Dr
Suite 1-347
Evanston, IL 60208-0895
Phone (847) 467-7141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003878539 | Medicaid | MI |
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 |
|---|---|---|---|
| 7101004696 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1982976510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E. MEDICAL CENTER DR",
"address_2": "1D203 UH",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-634-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E MEDICAL CENTER DR # 12358C&W",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481090100",
"telephone_number": "734-763-4003"
}
],
"practiceLocations": [
{
"address_1": "2240 Campus Dr",
"address_2": "Suite 1-347",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602080895",
"country_code": "US",
"telephone_number": "847-467-7141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHERMEL",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003878539",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.