Active NPI
Therapy Dynamics
- Speech-Language Pathologist
- Winter Park, FL
National Provider Identifier
1184635112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- THERAPY DYNAMICS
- Practice address
- 1710 W Fairbanks Ave
Winter Park, FL 32789-4612 - Phone
- (407) 788-7722
- Fax
- (407) 788-7723
- NPI assigned
- Aug 11, 2006
- 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
- Mrs. Renee McCalla-Watson
- Title
- President/Ceo
- Phone
- (407) 788-7722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1710 W Fairbanks Ave
Winter Park, FL 32789-4612
Mailing address
1710 W Fairbanks Ave
Winter Park, FL 32789-4612
Phone (407) 788-7722
National Provider Directory
National Provider DirectoryLocations
1710 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 788-7722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184635112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 W FAIRBANKS AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894612",
"telephone_number": "407-788-7722",
"fax_number": "407-788-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W FAIRBANKS AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894612",
"telephone_number": "407-788-7722",
"fax_number": "407-788-7723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY DYNAMICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCALLA-WATSON",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "407-788-7722",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.