Speech Therapy Center PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH THERAPY CENTER PLLC

Practice address

5023 Flora Ave
Holiday, FL 34690-6616

Phone

(727) 940-3114

Fax

(727) 940-4107

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Alexandra KolioradakisNPI 1003291592

Title

Owner

Phone

(727) 940-3114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Alexandra Kolioradakis, MS, CCC-SLP

  • Speech-Language Pathologist
  • Holiday, FL
  • NPI 1003291592
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1235704560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 FLORA AVE",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346906616",
            "telephone_number": "727-940-3114",
            "fax_number": "727-940-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 FLORA AVE",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346906616",
            "telephone_number": "727-940-3114",
            "fax_number": "727-940-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KOLIORADAKIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-940-3114"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardi Shukla, DMD
• Natali Sikole, APRN
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• Speech-Language Pathologist in Holiday, FL
• Providers in Holiday, 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 Aug 14, 2023; 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.