Individual provider Active NPI

Laurel Jessica Alin

  • Speech-Language Pathologist
  • Boynton Beach, FL
National Provider Identifier
1093559395
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
12040 S Jog Rd
Boynton Beach, FL 33437-4164
Phone
(561) 733-5083
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

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

Addresses

Primary practice location

12040 S Jog Rd
Boynton Beach, FL 33437-4164

Mailing address

21345 Powerline Rd Ste 100
Boca Raton, FL 33433-2307
Phone (561) 883-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729000377 FL Practitioner - Qualified Speech Language Pathologist 3476099276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Movement Therapy Center-Boca Raton, LLCGroup PAC ID 6507014768, 13 clinicians

Practice addresses (Care Compare)

21345 Powerline Rd
Suite 100
Boca Raton, FL 33433-2307
Phone (561) 883-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boynton Beach Inc CurrentSince Jul 15, 2024 Accepting new patients
Florida Movement Therapy Center-Boca Raton, LLC Speech-Language Pathologist CurrentSince Jul 15, 2024 Accepting new patients
Sun Health Career Solutions, Inc. PastSince Jun 23, 2024 Accepting new patients

Locations

21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1093559395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21345 POWERLINE RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332307",
            "telephone_number": "561-883-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 S JOG RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374164",
            "telephone_number": "561-733-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIN",
        "first_name": "LAUREL",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.