Active NPI
Rebecca L Burt, MA, CCC/SLP, NBCT
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1003853334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6431
- Practice address
- 2000 Derby Glen Dr
Orlando, FL 32837-8025 - Phone
- (407) 641-0808
- Fax
- (407) 812-4358
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6431 | FL | Primary |
| Developmental Therapist | 222Q00000X | SA 6431 | FL |
Addresses
Primary practice location
2000 Derby Glen Dr
Orlando, FL 32837-8025
Mailing address
12242 Medan St
Orlando, FL 32837-9563
Phone (407) 267-3205
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6431 | FL | MD | Developmental Therapist |
| SA6431 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1003853334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12242 MEDAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379563",
"telephone_number": "407-267-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 DERBY GLEN DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378025",
"telephone_number": "407-641-0808",
"fax_number": "407-812-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MA, CCC/SLP, NBCT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6431",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "SA 6431",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.