Tevin Minus, ST
Individual provider Active NPI Speech-Language Pathologist · Jay, FL
NPI 1083369813 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1083369813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ10565
- Practice address
- 3964 Florida Ave
Jay, FL 32565-1104 - Phone
- (850) 675-4000
- NPI assigned
- Feb 21, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Action Therapy Group LLC
Practice addresses (Care Compare)
3964 Florida Ave
Jay, FL 32565-1104
Phone (850) 741-6715
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221221000695 | FL | Practitioner - Qualified Speech Language Pathologist | 9133599848 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Therapy Group LLC | Current |
Accepting new patients |
Locations
3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ10565 | Yes |
Addresses
Primary practice location
3964 Florida Ave
Jay, FL 32565-1104
Mailing address
3331 Summit Blvd Apt 172
Pensacola, FL 32503-4331
Phone (850) 741-6715
Other providers in Jay, FL
- Loving Care Sitters, Inc.
- Mark J Elder DO PA
- Destiny Mead
- Arthur P Menard
- Taylor Elizabeth Miller
- Mark Junior Morrow
- Jana Marie Motes
- Lisa Newton
- Elizabeth Seals Norman
- Panhandle Rural Health Incorporated
All providers in Jay, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.