West Orange Speech Pathologist, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA1245 Issued in FL

Legal business name

WEST ORANGE SPEECH PATHOLOGIST, INC.

Practice address

6388 Silver Star Rd Ste 2E
Orlando, FL 32818-3235

Phone

(407) 298-5300

Fax

(407) 296-0026

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Tatum-Riley, M.S. CCC-SLPNPI 1730226168

Title

Ceo/SLP

Phone

(407) 298-5300

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

West Orange Speech Pathologist Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Orange Speech Pathologist Inc.

  • Occupational Therapy Assistant
  • Orlando, FL
  • NPI 1043699911
  NPD tax ID

Locations

Practitioners 4

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.

• Linda Tatum-Riley, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1730226168
  Medicare reassignment NPD Authorized official
• Joan E Bray-Taylor

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1760508949
  NPD (past)
• Leslye Woods, OTR/L

  • Occupational Therapist
  • Orlando, FL
  • NPI 1992904122
  NPD (past)
• Wanda Peg-Ann Davis

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1376743179
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1073788691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555907",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328555907",
            "telephone_number": "407-298-5300",
            "fax_number": "407-296-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388 SILVER STAR RD STE 2E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183235",
            "telephone_number": "407-298-5300",
            "fax_number": "407-296-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE SPEECH PATHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "TATUM-RILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO/SLP",
        "authorized_official_telephone_number": "407-298-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "202579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL / WELLCARE",
            "identifier": "18348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER",
            "identifier": "880650196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882834200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Orange Dental Group LLC
• West Orange Dental Group, LLC
• West Orange Maitland Dialysis Center LLC (Fresenius Kidney Care Maitland)
• West Orange Orlando Dialysis Center, LLC (Fresenius Kidney Care South Orlando)
• West Orange Speech Pathologist Inc.
• West Orange Wellness LLC
• West Side Chiropractor
• Alexis West, DC
• Brianne Rose West
• Harold K West Jr., MD

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, 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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.