Med Speech Therapy, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 9278 Issued in FL

Legal business name

MED SPEECH THERAPY, LLC.

Doing business as

Speech Path of Brevard

Practice address

7145 Turner Rd
Suite 101
Rockledge, FL 32955-5721

Phone

(321) 241-4816

NPI assigned

May 22, 2012

Last updated

Jun 20, 2012By 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

Lisa M. Purdy, M.S.CCC/SLP

Title

SLP/Owner

Phone

(321) 241-4816

Specialties & licenses 1

Addresses

Other names 1

• Speech Path of Brevard Doing business as

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1164782397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 TURNER RD",
            "address_2": "SUITE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555721",
            "telephone_number": "321-241-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 TURNER RD",
            "address_2": "SUITE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555721",
            "telephone_number": "321-241-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SPEECH THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "321-241-4816",
        "authorized_official_credential": "M.S.CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Path of Brevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Nicole McLean
• Donald W McMillan, MD
• Jenna E McMillan, APRN
• Maria McMillan
• Katelyn Meade, DO
• Medfast Urgent Care Centers. LLC
• Medical Staffing Solutions,Inc. (MSS Care)
• Delight Megregian, M.A.
• Melissa Jean Meikle
• Jose G Mejia, MD

• Speech-Language Pathologist in Rockledge, FL
• Providers in Rockledge, 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 Jun 20, 2012; 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.