Vista Therapy Services, PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6805 Issued in FL

Legal business name

VISTA THERAPY SERVICES, PA

Practice address

6634 79 Ave.
Pinellas Park, FL 33781

Phone

(727) 504-6941

NPI assigned

Oct 23, 2009

Organization subpart

No

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

Authorized official

Name

Darren L Bennett, MA,CCC-SLPNPI 1831308493

Title

President

Phone

(727) 504-6941

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Darren L Bennett, CCC-SLP

  • Speech-Language Pathologist
  • Pinellas Park, FL
  • NPI 1831308493
  NPD (past) Authorized official

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1114253382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 79 AVE.",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-504-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 79 AVE.",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-504-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA THERAPY SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-504-6941",
        "authorized_official_credential": "MA,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8887454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juana Mari Villavicencio, CLD
• Lucia Vinciguerra, BA
• Virginia Ann Schekorra PA
• Nicole Virgo
• Visionworks, Inc.
• Vistacare Pharmacy Services 2, LLC
• Vital Rehab Intervention Inc
• Vitalogy Rehab Services Inc.
• VMD Primary Providers Central Florida PLLC
• VN Senior Center, Inc

• Speech-Language Pathologist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.