Olive Tree Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

OLIVE TREE SPEECH THERAPY

Doing business as

Dino Roar Speech Therapy

Practice address

4709 SE 102ND PL Unit 2-104
Belleview, FL 34420-2939

Phone

(352) 659-3334

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Shaimir Berrios RodriguezNPI 1295203636

Title

Speech and Language Pathologist

Phone

(786) 553-4889

Specialties & licenses 1

Addresses

Other names 1

• Dino Roar Speech Therapy Doing business as

Locations

Practitioners 1

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

• Shaimir Berrios Rodriguez

  • Speech-Language Pathologist
  • Belleview, FL
  • NPI 1295203636
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1063134542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 SE 116TH ST",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 SE 102ND PL UNIT 2-104",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344202939",
            "telephone_number": "352-659-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "BERRIOS RODRIGUEZ",
        "authorized_official_first_name": "SHAIMIR",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "786-553-4889"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dino Roar Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Belleview, FL
• Providers in Belleview, 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 Sep 13, 2022; 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.