Individual provider Active NPI

Judith L Reese, PH.D.

  • Speech-Language Pathologist
  • Lutz, FL
National Provider Identifier
1053301374
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA2573 Issued in FL
Practice address
1541 Dale Mabry Hwy
Suite 201
Lutz, FL 33548-3017
Phone
(813) 949-1331
NPI assigned
Oct 27, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY902 FL
Speech-Language Pathologist 235Z00000X SA2573 FL Primary

Addresses

Primary practice location

1541 Dale Mabry Hwy
Suite 201
Lutz, FL 33548-3017

Mailing address

19907 Reading Rd
Lutz, FL 33558-5006
Phone (813) 948-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000565 FL Practitioner - Qualified Audiologist 6406876887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Hearing Group LLCGroup PAC ID 8325413677, 8 clinicians

Practice addresses (Care Compare)

1519 Dale Mabry Hwy
Suite 105
Lutz, FL 33548-3033
Phone (813) 949-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AY902FLMDAudiologist
SA2573FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Group LLC Audiologist CurrentSince Aug 27, 2023 Accepting new patients
Audiology and Hearing Center of Tampa LLC Audiologist PastSince Mar 1, 2020 Accepting new patients

Locations

1519 Dale Mabry Hwy
Ste 105
Lutz, FL 33548
Phone (813) 949-1331

15310 Amberly Dr
Ste 170
Tampa, FL 33647
Phone (813) 374-3036

149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053301374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19907 READING RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585006",
            "telephone_number": "813-948-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 DALE MABRY HWY",
            "address_2": "SUITE 201",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483017",
            "telephone_number": "813-949-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JUDITH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY902",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.