Active NPI
Sandpiper Speech and Language Therapy LLC
- Hearing and Speech Clinic/Center
- Fort Myers, FL
National Provider Identifier
1063133205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- SANDPIPER SPEECH AND LANGUAGE THERAPY LLC
- Practice address
- 9160 Forum Corporate Parkway
Suite 350
Fort Myers, FL 33905 - Phone
- (239) 312-9001
- Fax
- (239) 206-5074
- NPI assigned
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Kilgore, M.S., CCC-SLP
- Title
- Owner/SLP
- Phone
- (239) 312-9001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
9160 Forum Corporate Parkway
Suite 350
Fort Myers, FL 33905
Mailing address
4341 Lazio Way Apt 1203
Fort Myers, FL 33901-9622
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fort Myers, FL
- NPI 1255997953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1063133205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 LAZIO WAY APT 1203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 FORUM CORPORATE PARKWAY",
"address_2": "SUITE 350",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-312-9001",
"fax_number": "239-206-5074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDPIPER SPEECH AND LANGUAGE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "239-312-9001",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.