Constance Maya Brezden

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ12167 Issued in FL

Practice address

1172 W Osceola Pkwy
Kissimmee, FL 34741-7515

Phone

(689) 204-2221

Fax

(689) 204-2225

NPI assigned

May 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Head to Toe Kids Therapy, LLC

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1366855579
  NPD (past)

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1053985952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 W PEBBLE BEACH CIR",
            "city": "WINTER SPGS",
            "state": "FL",
            "postal_code": "327084209",
            "telephone_number": "407-766-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 W OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417515",
            "telephone_number": "689-204-2221",
            "fax_number": "689-204-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZDEN",
        "first_name": "CONSTANCE",
        "middle_name": "MAYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenilda Mendoza
• Monica Brennan-Pavlicek
• Nicole Rachelle Brenner, M.D.
• Raymond Edward Brennick III, DPT
• Criseyde Brew Chernavski, MSPT
• Ana M Briceno, APRN
• Maria Eugenia Briceno I, RBTS
• Bridge of Hope
• Bridge of Hope
• Bridge of Hope C F

• Speech-Language Pathologist in Kissimmee, FL
• Providers in Kissimmee, 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 Aug 30, 2024; 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.