Organization Active NPI

Sandpiper Speech and Language Therapy LLC

  • Hearing and Speech Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1063133205
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
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

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Erica Kilgore, M.S., CCC-SLPNPI 1255997953
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.