Active NPI
Mosaic Therapy Services LLC
- Speech-Language Pathologist
- Naples, FL
National Provider Identifier
1194232561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12231
- Legal business name
- MOSAIC THERAPY SERVICES LLC
- Practice address
- 14700 Tamiami TRL N Ste 1
Naples, FL 34110-6221 - Phone
- (239) 249-5292
- NPI assigned
- Jan 5, 2018
- 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
- Jessica Ann Rosen, MS CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (239) 249-5292
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA12231 | FL | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
14700 Tamiami TRL N Ste 1
Naples, FL 34110-6221
Mailing address
14700 Tamiami TRL N Ste 1
Naples, FL 34110-6221
Phone (239) 249-5292
Other names 1
- Mosaic Therapy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@mosaictherapyfl.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Bonita Springs, FL
- NPI 1982905659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644019200000",
"number": "1194232561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 TAMIAMI TRL N STE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341106221",
"telephone_number": "239-249-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 TAMIAMI TRL N STE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341106221",
"telephone_number": "239-249-5292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-05",
"last_updated": "2022-02-05",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "239-249-5292",
"authorized_official_credential": "MS CCC-SLP"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12231",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@mosaictherapyfl.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14700 Tamiami Trl N Ste 1",
"city": "Naples",
"state": "FL",
"country_code": "US",
"postal_code": "341106221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Mosaic Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.