Organization Active NPI

Freedom of Speech Therapy Center, LLC

  • Hearing and Speech Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1073130621
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
FREEDOM OF SPEECH THERAPY CENTER, LLC
Practice address
1500 N University Dr Ste 233
Coral Springs, FL 33071-8971
Phone
(954) 372-4040
NPI assigned
Jun 30, 2020
Last updated
Mar 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Kelley Jean Rohrborn, MA, CCC-SLPNPI 1033504949
Title
Sole Member
Phone
(805) 843-5941

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 Pathologist 235Z00000X NU
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

1500 N University Dr Ste 233
Coral Springs, FL 33071-8971

Mailing address

1500 N University Dr Ste 233
Coral Springs, FL 33071-8971
Phone (954) 372-4040

Other practice location 1

6344 DuVal Dr
Margate, FL 33063-7098
Phone (805) 843-5941

Other identifiers 2

IdentifierTypeStateIssuer
107129400MedicaidFL
108445500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1500 N University Dr
Ste 233
Coral Springs, FL 33071
Phone (954) 372-4040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1073130621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 233",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718971",
            "telephone_number": "954-372-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 233",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718971",
            "telephone_number": "954-372-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6344 DuVal Dr",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330637098",
            "country_code": "US",
            "telephone_number": "805-843-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM OF SPEECH THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "ROHRBORN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "805-843-5941",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107129400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108445500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.