Organization Active NPI

Bay Area Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1023042207
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4177 Issued in FL
Legal business name
BAY AREA SPEECH THERAPY, INC.
Practice address
12822 Tar Flower Dr
Tampa, FL 33626-2342
Phone
(813) 920-6444
Fax
(813) 920-6441
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer G Butler, MSP, CCC-SLP
Title
Vice President
Phone
(813) 920-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA4177 FL Primary

Addresses

Primary practice location

12822 Tar Flower Dr
Tampa, FL 33626-2342

Mailing address

12822 Tar Flower Dr
Tampa, FL 33626-2342
Phone (813) 920-6444

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023042207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 TAR FLOWER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262342",
            "telephone_number": "813-920-6444",
            "fax_number": "813-920-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 TAR FLOWER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262342",
            "telephone_number": "813-920-6444",
            "fax_number": "813-920-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-920-6444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSP, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.