Active NPI
Adam Reres
- Speech-Language Pathologist
- Oviedo, FL
National Provider Identifier
1215325253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA13745
- Practice address
- 5336 Rocking Horse PL
Oviedo, FL 32765-6128 - Phone
- (609) 610-6712
- NPI assigned
- Dec 29, 2014
- Reactivated
- May 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA13745 | FL | Primary |
Addresses
Primary practice location
5336 Rocking Horse PL
Oviedo, FL 32765-6128
Mailing address
5336 Rocking Horse PL
Oviedo, FL 32765-6128
Phone (609) 610-6712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014075300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA13745 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1215325253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5336 ROCKING HORSE PL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656128",
"telephone_number": "609-610-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5336 ROCKING HORSE PL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656128",
"telephone_number": "609-610-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RERES",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-29",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"deactivation_date": "2022-11-14",
"reactivation_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA13745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014075300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
- Chantelle Latanya Reid, COTA
- Monica Blair Reid, M.S., CF-SLP
- Remberts Prestige Home Care LLC
- Renew Chiropractic & Wellness PA
- Renew Psychiatric Group PLLC
- Resilience Counseling Center Inc
- Resilient Counseling Coaching and Consulting LLC
- Vernon Martin Ressler III, D.C.
- Restoring Growth Counseling
- Christina Rey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.