Organization Active NPI

Infinite Speech, Swallowing and Neurological Rehabilitation LLC

  • Speech-Language Pathologist
  • Lake Worth, FL
National Provider Identifier
1104398056
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INFINITE SPEECH, SWALLOWING AND NEUROLOGICAL REHABILITATION LLC
Practice address
5635 Green Island Blvd
Lake Worth, FL 33463-7352
Phone
(770) 714-0642
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Chanel Mercedes Morris-Stephens, M.A., CCC-SLPNPI 1861962169
Title
Owner
Phone
(707) 140-6427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5635 Green Island Blvd
Lake Worth, FL 33463-7352

Mailing address

5635 Green Island Blvd
Lake Worth, FL 33463-7352
Phone (770) 714-0642

National Provider Directory

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": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1104398056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 GREEN ISLAND BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637352",
            "telephone_number": "770-714-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 GREEN ISLAND BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637352",
            "telephone_number": "770-714-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SPEECH, SWALLOWING AND NEUROLOGICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MORRIS-STEPHENS",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-140-6427",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.