Individual provider Active NPI

Kasey Clarke

  • Speech-Language Pathologist
  • Sanford, FL
National Provider Identifier
1104799477
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ13032 Issued in FL
Practice address
3440 Saint Johns Pkwy Ste 1050
Sanford, FL 32771-6763
Phone
(407) 878-7664
NPI assigned
Sep 24, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 SZ13032 FL Primary

Addresses

Primary practice location

3440 Saint Johns Pkwy Ste 1050
Sanford, FL 32771-6763

Mailing address

718 Sugar Bay Way Unit 202
Lake Mary, FL 32746-6506

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

State licenses

LicenseStateTypeSpecialty
SZ13032FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapy, Inc. Speech-Language Pathologist CurrentSince Sep 28, 2025 Accepting new patients

Locations

3440 Saint Johns Pkwy
Ste 1050
Sanford, FL 32771
Phone (407) 878-7664

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1104799477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SUGAR BAY WAY UNIT 202",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 SAINT JOHNS PKWY STE 1050",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716763",
            "telephone_number": "407-878-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ13032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.