Organization Active NPI

Greater Orlando Therapy Clinic, Inc.

  • Speech-Language Pathologist
  • Longwood, FL
National Provider Identifier
1073635868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GREATER ORLANDO THERAPY CLINIC, INC.
Practice address
457 Victor Ave
Longwood, FL 32750-6150
Phone
(407) 261-5471
NPI assigned
Apr 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joan Adele Clow, SLPNPI 1336261130
Title
President
Phone
(407) 261-5471

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

457 Victor Ave
Longwood, FL 32750-6150

Mailing address

457 Victor Ave
Longwood, FL 32750-6150
Phone (407) 261-5471

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, 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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073635868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VICTOR AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506150",
            "telephone_number": "407-261-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 VICTOR AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506150",
            "telephone_number": "407-261-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ORLANDO THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-261-5471",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.