Active NPI
Mindy Selber, SA 6191
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1043376585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6191
- Practice address
- 3305 S Orange Ave
Orlando, FL 32806-6125 - Phone
- (407) 852-3310
- Fax
- (407) 852-3301
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 6191 | FL | Primary |
Addresses
Primary practice location
3305 S Orange Ave
Orlando, FL 32806-6125
Mailing address
3305 S Orange Ave
Orlando, FL 32806-6125
Phone (407) 852-3310
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
- Univ of Central Florida, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6855 NW 70TH Ave
Harborchase of Tamarac
Tamarac, FL 33321-5326
Phone (786) 770-9480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6191 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Strength and Balance Institute | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
6855 NW 70th Ave
Tamarac, FL 33321
Phone (954) 224-8359
Organizations & group practices 2
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.
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
Speech-Language Pathologist
-
- Physical Therapist
- Aventura, FL
- NPI 1164077947
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1043376585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066125",
"telephone_number": "407-852-3310",
"fax_number": "407-852-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066125",
"telephone_number": "407-852-3310",
"fax_number": "407-852-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBER",
"first_name": "MINDY",
"name_prefix": "Mrs.",
"credential": "SA 6191",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- April Seitler, PHARMD
- Benjamin Khoa Seitz
- Samir Vasant Sejpal, M.D.
- Sel Mental Health Services, LLC
- Kevyn Selakovich
- Select Physical Therapy Holdings Inc
- Select Physical Therapy Holdings Inc
- Select Physical Therapy Holdings, Inc.
- Select Specialty Hospital - Orlando, Inc
- Select Specialty Hospital - Orlando, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.