Premier Pediatric Therapy, P.a.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8369 Issued in FL

Legal business name

PREMIER PEDIATRIC THERAPY, P.A.

Practice address

1080 E Indiantown Rd Ste 104
Jupiter, FL 33477-5188

Phone

(561) 670-4864

Fax

(561) 258-0812

NPI assigned

Apr 10, 2013

Last updated

Jan 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Mac, CCC-SLP

Title

Speech-Language Pathologist

Phone

(561) 670-4864

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Brittany Capriotti

  • Speech-Language Pathologist
  • Jupiter, FL
  • NPI 1902352198
  NPD (past)
• Jodi Boylen, SLP

  • Speech-Language Pathologist
  • Simpsonville, SC
  • NPI 1134586498
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1114360039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E INDIANTOWN RD STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775188",
            "telephone_number": "561-670-4864",
            "fax_number": "561-258-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E INDIANTOWN RD STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775188",
            "telephone_number": "561-670-4864",
            "fax_number": "561-258-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRIC THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "MAC",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "561-670-4864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003349800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890294100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Ann Preti, MA

• Speech-Language Pathologist in Jupiter, FL
• Providers in Jupiter, 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 Jan 18, 2016; 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.