Andy Parada Medina

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA24400 Issued in FL

Practice address

730 SW 124TH Ter
Fort Lauderdale, FL 33325-3460

Phone

(305) 801-5769

NPI assigned

Jun 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• M & a Family Center Corp

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1326921495

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1053936005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SW 124TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333253460",
            "telephone_number": "305-801-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SW 124TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333253460",
            "telephone_number": "305-801-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADA MEDINA",
        "first_name": "ANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA24400",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anyonya Panthagani
• Ann Marie Paolino, PSY.D.
• Gina Papa
• Stavros Papandreou, D.O.
• Jean C Papillon, MD
• Paradise Dental Studio
• Paradise Speech Therapy, LLC
• Paramount Wellness Group LLC
• Rozina Parbtani
• Isaac Pardo, DPT

• Speech-Language Pathologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Mar 2, 2026; 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.