Individual provider Active NPI

Tani C. Osorio, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Destin, FL
National Provider Identifier
1235396763
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11272 Issued in FL
Practice address
3882 Sand Dune CT
Destin, FL 32541-3210
Phone
(910) 551-3337
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7846 NC
Speech-Language Pathologist 235Z00000X 31490 CA
Speech-Language Pathologist 235Z00000X SA11272 FL Primary

Addresses

Primary practice location

3882 Sand Dune CT
Destin, FL 32541-3210

Mailing address

520 Southwick Dr
Fayetteville, NC 28303-2641
Phone (910) 551-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110001658 FL Practitioner - Qualified Speech Language Pathologist 0547637191 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7846NCMDPhysical Therapist
31490CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Speech Pathology, LLC Speech-Language Pathologist CurrentSince Feb 24, 2022 Accepting new patients
Slptele LLC Speech-Language Pathologist CurrentSince Aug 5, 2022 Accepting new patients
Carolina Therapy Services Inc Speech-Language Pathologist Past Accepting new patients
Speech & Language Pathology of de Americas Speech-Language Pathologist Past Accepting new patients

Locations

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

1451 W Cypress Creek Rd
Ste 300
Ft Lauderdale, FL 33309
Phone (954) 532-3081

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1235396763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOUTHWICK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032641",
            "telephone_number": "910-551-3337",
            "fax_number": "910-864-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3882 SAND DUNE CT",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413210",
            "telephone_number": "910-551-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "TANI",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7846",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31490",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.