Individual provider Active NPI

Tom Christopher Ehren, M.S.

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1235322454
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA1953 Issued in FL
Practice address
12424 Research Pkwy
Orlando, FL 32826-3249
Phone
(407) 882-0468
Fax
(407) 249-4774
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA1953 FL Primary

Addresses

Primary practice location

12424 Research Pkwy
Orlando, FL 32826-3249

Mailing address

661 Cayuga Dr
Winter Springs, FL 32708-5604
Phone (407) 971-0748

Other identifiers 1

IdentifierTypeStateIssuer
SA1953OtherFLPROFESSIONAL LICENSE

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1235322454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 CAYUGA DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085604",
            "telephone_number": "407-971-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 RESEARCH PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263249",
            "telephone_number": "407-882-0468",
            "fax_number": "407-249-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHREN",
        "first_name": "TOM",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA1953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "SA1953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.