Active NPI
Kindle Page, CCC-SLP
- Speech-Language Pathologist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10664
- Practice address
- 1000 W Moreno St
Physical Therapy
Pensacola, FL 32501 - Phone
- (850) 434-4971
- NPI assigned
- Jul 5, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA10664 | FL | Primary |
Addresses
Primary practice location
1000 W Moreno St
Physical Therapy
Pensacola, FL 32501
Mailing address
1717 North E Street
Suite 236
Pensacola, FL 32501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10075 Hillview Dr
Pensacola, FL 32514-5469
Phone (662) 714-3122
1810 W Cervantes St
Pensacola, FL 32501-0001
Phone (406) 253-9498
8601 N Davis Hwy
Pensacola, FL 32514-5932
Phone (662) 714-3122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA10664 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accessible Physical Therapy Inc | Current | Accepting new patients |
Locations
1810 W Cervantes St
Pensacola, FL 32501
Phone (406) 253-9498
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1649900408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013438662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 NORTH E STREET",
"address_2": "SUITE 236",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W MORENO ST",
"address_2": "PHYSICAL THERAPY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32501",
"telephone_number": "850-434-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "KINDLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.