Organization Active NPI

SWFL Speech Therapy, Inc.

Doing business as SWFL Therapy Services

  • Speech-Language Pathologist
  • Fort Myers, FL
National Provider Identifier
1083284137
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SWFL SPEECH THERAPY, INC.
Doing business as
SWFL Therapy Services
Practice address
14260 Metropolis Ave Ste 103
Fort Myers, FL 33912-4436
Phone
(239) 400-1705
NPI assigned
Jun 30, 2021
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Kimberly Beaugez, CCC-SLPNPI 1962614271
Title
Owner
Phone
(239) 823-0344

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

14260 Metropolis Ave Ste 103
Fort Myers, FL 33912-4436

Mailing address

20942 Napa Loop
Estero, FL 33928-9691
Phone (239) 823-0344

Other practice location 1

9470 Corkscrew Palms Cir Ste 104
Estero, FL 33928-3305
Phone (239) 400-1705

Other names 1

  • SWFL Therapy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SWFL Speech Therapy 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.

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": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1083284137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20942 NAPA LOOP",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289691",
            "telephone_number": "239-823-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14260 METROPOLIS AVE STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124436",
            "telephone_number": "239-400-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9470 Corkscrew Palms Cir Ste 104",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339283305",
            "country_code": "US",
            "telephone_number": "239-400-1705",
            "fax_number": "239-244-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWFL SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "BEAUGEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-823-0344",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWFL Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SWFL Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2024; 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.