Lkjackley LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7750 Issued in FL

Legal business name

LKJACKLEY LLC

Doing business as

So To Speak Therapies

Practice address

525 Mount Argyll CT
Apopka, FL 32712-4738

Phone

(321) 230-1124

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Kristi Jackley, MA CCC SLPNPI 1649431412

Title

Owner/Speech Therapist

Phone

(321) 230-1124

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• So To Speak Therapies Doing business as

Practitioners 2

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

• Kristi L Jackley, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Apopka, FL
  • NPI 1649431412
  NPD Authorized official
• Lauren Miller Verity

  • Speech-Language Pathologist
  • Apopka, FL
  • NPI 1043665383
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1205216140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MOUNT ARGYLL CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MOUNT ARGYLL CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124738",
            "telephone_number": "321-230-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKJACKLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "JACKLEY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/SPEECH THERAPIST",
        "authorized_official_telephone_number": "321-230-1124",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010839200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003686500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "So To Speak Therapies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "So To Speak Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Apopka, FL
• Providers in Apopka, 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 Mar 5, 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.

Verify at the official NPI Registry.