Active NPI
Speech and Occupational Specialists, LLC
- Clinic/Center
- Sebastian, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SPEECH AND OCCUPATIONAL SPECIALISTS, LLC
- Practice address
- 705 Sebastian Blvd Ste a
Sebastian, FL 32958-4397 - Phone
- (407) 399-6556
- NPI assigned
- Jul 7, 2021
- Last updated
- Jul 7, 2021
- 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
- Jennifer Olesen
- Title
- Practice Owner
- Phone
- (407) 399-6556
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
705 Sebastian Blvd Ste a
Sebastian, FL 32958-4397
Mailing address
1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380
Phone (407) 399-6556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103281300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Speech and Occupational Specialists LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Tavares, FL
- NPI 1326619628
-
- Clinic/Center
- Clermont, FL
- NPI 1336710623
-
- Clinic/Center
- Clermont, FL
- NPI 1730750027
Locations
705 Sebastian Blvd
Ste A
Sebastian, FL 32958
Phone (407) 399-6556
1201 Winter Garden Vineland Rd
Ste 10
Winter Garden, FL 34787
Phone (407) 295-0444
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Winter Garden, FL
- NPI 1598929929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625616000000",
"number": "1144891433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WINTER GARDEN VINELAND RD STE 10",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874380",
"telephone_number": "407-399-6556",
"fax_number": "407-654-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 SEBASTIAN BLVD STE A",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329584397",
"telephone_number": "407-399-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH AND OCCUPATIONAL SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A",
"authorized_official_last_name": "OLESEN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "407-399-6556"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103281300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.