Individual provider Active NPI

Kelvin Jose Colon Torres, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1104593979
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20800 Issued in FL
Practice address
1344 W Fletcher Ave Ste 104
Tampa, FL 33612-3366
Phone
(813) 961-1666
Fax
(813) 961-1107
NPI assigned
Aug 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA20800 FL Primary
Speech-Language Pathologist 235Z00000X SZ10409 FL

Addresses

Primary practice location

1344 W Fletcher Ave Ste 104
Tampa, FL 33612-3366

Mailing address

3902 Carrollwood Place Cir Apt 203
Tampa, FL 33624-3062
Phone (787) 204-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA20800FLMDSpeech-Language Pathologist
SZ10409FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Therapy Solutions, Inc. Speech-Language Pathologist PastSince Aug 29, 2021 Accepting new patients
Beth Ingram & Associates, Inc. Speech-Language Pathologist PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 2

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663372800000",
    "number": "1104593979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 CARROLLWOOD PLACE CIR APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243062",
            "telephone_number": "787-204-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 W FLETCHER AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123366",
            "telephone_number": "813-961-1666",
            "fax_number": "813-961-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON TORRES",
        "first_name": "KELVIN",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-09-17",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20800",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; 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.