Pinnacle Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0091944300 Issued in FL

Legal business name

PINNACLE THERAPY SERVICES

Practice address

3173 Oak Brook LN
Eustis, FL 32736-2265

Phone

(407) 953-7457

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 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

Terryl Gattling, M.S. CCC SLP

Title

Speech Pathologist

Phone

(407) 953-7457

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1114474806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 OAK BROOK LN",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327362265",
            "telephone_number": "407-953-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 OAK BROOK LN",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327362265",
            "telephone_number": "407-953-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "GATTLING",
        "authorized_official_first_name": "TERRYL",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "407-953-7457",
        "authorized_official_credential": "M.S. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "0091944300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091944300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Eustis, FL
• Providers in Eustis, 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 Sep 9, 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.