Active NPI
III-D Therapy Services
- Speech-Language Pathologist
- Palm Bay, FL
National Provider Identifier
1124649280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- III-D THERAPY SERVICES
- Practice address
- 1350 Malabar Rd SE Ste 2
Palm Bay, FL 32907-3406 - Phone
- (321) 684-9272
- Fax
- (321) 914-4207
- NPI assigned
- Apr 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eunice J Saunders, MS.,CCC/SLP
- Title
- Speech Language Pathologist
- Phone
- (321) 684-9272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1350 Malabar Rd SE Ste 2
Palm Bay, FL 32907-3406
Mailing address
1350 Malabar Rd SE Ste 2
Palm Bay, FL 32907-3406
Phone (321) 684-9272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200817001244 | FL | Part B Supplier - Clinic/Group Practice | 2567888977 |
Receives reassigned benefits from 5 practitioners Practice locations: Palm Bay, FL |
National Provider Directory
National Provider DirectoryLocations
1350 Malabar Rd SE
Ste 2
Palm Bay, FL 32907
Phone (321) 345-4224
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Palm Bay, FL
- NPI 1033361431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1124649280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 MALABAR RD SE STE 2",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073406",
"telephone_number": "321-684-9272",
"fax_number": "321-914-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 MALABAR RD SE STE 2",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073406",
"telephone_number": "321-684-9272",
"fax_number": "321-914-4207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "III-D THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-29",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "SAUNDERS",
"authorized_official_first_name": "EUNICE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "321-684-9272",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS.,CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.