Tyler Panmunin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17748 Issued in FL

Practice address

1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711

Phone

(754) 444-3707

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tyler Pajardo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Favorite Therapists, LLC

  • Behavior Analyst
  • Deerfield Beach, FL
  • NPI 1992153217

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023743226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 E NEWPORT CENTER DR STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427711",
            "telephone_number": "754-444-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E NEWPORT CENTER DR STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427711",
            "telephone_number": "754-444-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANMUNIN",
        "first_name": "TYLER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "PAJARDO",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Palian, LMT
• Palm Beach Broward Medical Imaging Center, Inc.
• Kian Palmer
• Eduardo Palmero Sau, MD
• Thomas Eric Palucis
• Vaishali Milind Pansare, MD
• Laura Pantoja
• Ana Patricia Papiol
• Savannah Paponetti
• Ophelia Annie Papworth, LMT

• Speech-Language Pathologist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Speech-Language Pathologist in Florida

• 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.