NPIMap

Organization Active NPI

Integrated Speech Therapy LLC

  • Speech-Language Pathologist
  • Delray Beach, FL
National Provider Identifier
1104163963
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5309 Issued in FL
Legal business name
INTEGRATED SPEECH THERAPY LLC
Practice address
10105 Avenida del Rio
Delray Beach, FL 33446-2423
Phone
(561) 702-3965
Fax
(561) 638-5880
NPI assigned
Jan 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Authorized official

Name
Andrea Gottlieb, MS CCC/SLP
Title
President
Phone
(561) 702-3965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA5309 FL Primary

Addresses

Primary practice location

10105 Avenida del Rio
Delray Beach, FL 33446-2423

Mailing address

10105 Avenida del Rio
Delray Beach, FL 33446-2423
Phone (561) 702-3965

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357948800000",
    "number": "1104163963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 AVENIDA DEL RIO",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462423",
            "telephone_number": "561-702-3965",
            "fax_number": "561-638-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 AVENIDA DEL RIO",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462423",
            "telephone_number": "561-702-3965",
            "fax_number": "561-638-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-702-3965",
        "authorized_official_credential": "MS  CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.