Organization Active NPI

Speechrx LLC

  • Speech-Language Pathologist
  • Palm City, FL
National Provider Identifier
1164032611
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECHRX LLC
Practice address
1762 SW Crane Creek Cir
Palm City, FL 34990-2232
Phone
(772) 214-8655
NPI assigned
Aug 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Thomas G Winter
Title
Owner / Member
Phone
(772) 214-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1762 SW Crane Creek Cir
Palm City, FL 34990-2232

Mailing address

1762 SW Crane Creek Cir
Palm City, FL 34990-2232
Phone (772) 214-8655

Other practice location 1

701 SE Ocean Blvd
Stuart, FL 34994-2331
Phone (772) 214-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826000392 FL Part B Supplier - Clinic/Group Practice 9133546906 Receives reassigned benefits from 6 practitioners
Practice locations: Palm City, FL; Stuart, FL

National Provider Directory

National Provider Directory

Locations

921 SE Ocean Blvd
Ste 3
Stuart, FL 34994
Phone (772) 219-9983

701 SE Ocean Blvd
Stuart, FL 34994
Phone (614) 233-1656

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1164032611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SW CRANE CREEK CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902232",
            "telephone_number": "772-214-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 SW CRANE CREEK CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902232",
            "telephone_number": "772-214-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 SE Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942331",
            "country_code": "US",
            "telephone_number": "772-214-8656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECHRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-08",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "772-214-8655"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.

Verify at the official NPI Registry.