MRS. LORI BETH KOTLICKY (NPI# 1396374278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396374278 |
| Entity Type | Individual |
| Full Name | MRS. LORI BETH KOTLICKY |
| Credential | SLP |
| Practice Address |
703 N Flamingo Rd Pembroke Pines FL 33028-1006 |
| Mailing Address |
3403 Island Rd Hollywood FL 33026-1249 |
| Practice Telephone | 9548447125 |
| Mailing Telephone | 3056093180 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA9911 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
703 N FLAMINGO RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245535 | Selwyn Waterton | Emergency Medicine | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2005-09-14 |
| 1730707522 | Carlos Rodrigo Carracedo Uribe | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-07-08 |
| 1710504816 | Marilyn Wan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-07-06 |
| 1891312401 | Serelee Editha St. Cyr Sullivan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-06-30 |
| 1114544897 | Pyi Phyo Aung | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-06-29 |
| 1306461207 | Mohammed Ebrahim | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-06-16 |
| 1821613829 | Myeongji Kim | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-06-15 |
| 1194345256 | Andrea Barberis | Physical Therapist | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-19 |
| 1093334740 | Jeffy Jacob | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-13 |
| 1396364378 | Vidhya Meyammai Meyyappa | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984215 | Jessica Iamarino | Speech-Language Pathologist | 1320 Nw 161st Ave, Pembroke Pines, FL 33028-1231 | 2019-10-23 |
| 1760962799 | Ready, Set, Grow Pediatric Therapies, Pllc | Speech-Language Pathologist | 320 S Flamingo Rd # 251, Pembroke Pines, FL 33027-1770 | 2018-08-20 |
| 1942780333 | Chrystal Clear Communication, Inc | Speech-Language Pathologist | 100 Nw 108th Ter Apt 208, Pembroke Pines, FL 33026-4088 | 2018-08-15 |
| 1841791993 | Roselynn Reyes | Speech-Language Pathologist | 2291 Nw 170th Ave, Pembroke Pines, FL 33028-2058 | 2018-02-23 |
| 1336503994 | Demi Aleczandra Miret | Speech-Language Pathologist | 17328 Sw 13th St, Pembroke Pines, FL 33029 | 2016-04-11 |
| 1801284138 | Essential Therapy Services Inc | Speech-Language Pathologist | 16739 Sw 16th St, Pembroke Pines, FL 33027-1416 | 2015-01-09 |
| 1447653779 | Florida Speech & Neurorehab Center, LLC | Speech-Language Pathologist | 331 Sw 184th Ter, Pembroke Pines, FL 33029-5425 | 2014-10-01 |
| 1154671170 | Sandy Carolina Mendez | Speech-Language Pathologist | 624 Nw 157th Ave, Pembroke Pines, FL 33028-1528 | 2012-09-17 |
| 1659627404 | Nancy Keaton King | Speech-Language Pathologist | 1158 Sw 158th Way, Pembroke Pines, FL 33027-2255 | 2012-07-31 |
| 1740546035 | Zoraida Ballestas | Speech-Language Pathologist | 173 Nw 207th Way, Pembroke Pines, FL 33029-3512 | 2012-04-11 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.