Organization Active NPI

Sunshine Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1184031833
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5932 Issued in FL
Legal business name
SUNSHINE SPEECH THERAPY, INC.
Practice address
4885 Waterwitch Point Dr
Orlando, FL 32806-7824
Phone
(407) 738-3660
Fax
(407) 914-2186
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Shannon VogtNPI 1104913060
Title
Speech Language Pathologist
Phone
(407) 738-3660

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA5932 FL Primary

Addresses

Primary practice location

4885 Waterwitch Point Dr
Orlando, FL 32806-7824

Mailing address

4885 Waterwitch Point Dr
Orlando, FL 32806-7824
Phone (407) 738-3660

Other identifiers 2

IdentifierTypeStateIssuer
887873100MedicaidFL
889251200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1184031833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 WATERWITCH POINT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328067824",
            "telephone_number": "407-738-3660",
            "fax_number": "407-914-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 WATERWITCH POINT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328067824",
            "telephone_number": "407-738-3660",
            "fax_number": "407-914-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "407-738-3660"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887873100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889251200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.