Organization Active NPI

Tiny Palms Speech Therapy

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1215387956
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12319 Issued in FL
Legal business name
TINY PALMS SPEECH THERAPY
Practice address
5625 Golden Eagle Cir
Palm Beach Gardens, FL 33418-1521
Phone
(954) 604-1085
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Carla Rodriguez, MS. CCC-SLPNPI 1982977062
Title
President/Speech Pathologist
Phone
(954) 604-1085

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: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA12319 FL Primary

Addresses

Primary practice location

5625 Golden Eagle Cir
Palm Beach Gardens, FL 33418-1521

Mailing address

5625 Golden Eagle Cir
Palm Beach Gardens, FL 33418-1521
Phone (954) 604-1085

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": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1215387956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 GOLDEN EAGLE CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181521",
            "telephone_number": "954-604-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 GOLDEN EAGLE CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181521",
            "telephone_number": "954-604-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY PALMS SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "954-604-1085",
        "authorized_official_credential": "MS. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.