Active NPI
Ashley Catherine Martinez Clark
- Speech-Language Pathologist
- Clearwater, FL
National Provider Identifier
1134565880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21773
- Practice address
- 1111 S Highland Ave
Clearwater, FL 33756-4432 - Phone
- (727) 446-0581
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA21773 | FL | Primary |
| Speech-Language Pathologist | 235Z00000X | SZ10439 | FL | |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
1111 S Highland Ave
Clearwater, FL 33756-4432
Mailing address
2747 Enterprise Rd E Unit 14
Clearwater, FL 33759-1154
Phone (201) 660-0492
Other practice location 1
15341 SW 18th St
Miramar, FL 33027-4307
Phone (201) 660-0492
Other practice location 2
5647 Gulf Dr
New Port Richey, FL 34652-4019
Phone (813) 435-3355
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA21773 | FL | MD | Speech-Language Pathologist |
| SZ10439 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Speech Therapy, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5647 Gulf Dr
New Port Richey, FL 34652
Phone (727) 645-6542
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 and National Provider Directory roles.
-
- Clinic/Center
- New Port Richey, FL
- NPI 1578954962
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1134565880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2747 ENTERPRISE RD E UNIT 14",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591154",
"telephone_number": "201-660-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S HIGHLAND AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564432",
"telephone_number": "727-446-0581"
}
],
"practiceLocations": [
{
"address_1": "15341 SW 18th St",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330274307",
"country_code": "US",
"telephone_number": "201-660-0492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5647 Gulf Dr",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346524019",
"country_code": "US",
"telephone_number": "813-435-3355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ CLARK",
"first_name": "ASHLEY",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21773",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10439",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.