Individual provider Active NPI

Colby Serpa

  • Speech-Language Pathologist
  • Oakland Park, FL
National Provider Identifier
1245046366
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ12437 Issued in FL
Practice address
840 E Oakland Park Blvd Ste 112
Oakland Park, FL 33334-2782
Phone
(954) 766-4621
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 SZ12437 FL Primary

Addresses

Primary practice location

840 E Oakland Park Blvd Ste 112
Oakland Park, FL 33334-2782

Mailing address

840 E Oakland Park Blvd Ste 112
Oakland Park, FL 33334-2782

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

LicenseStateTypeSpecialty
SZ12437FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Play and Learn Therapy, Inc. Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients
Physical Therapy Now Holdings, LLC PastSince Dec 8, 2024 Accepting new patients

Locations

840 E Oakland Park Blvd
Ste 112
Oakland Park, FL 33334
Phone (954) 766-4621

Organizations & group practices 2

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1245046366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E OAKLAND PARK BLVD STE 112",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E OAKLAND PARK BLVD STE 112",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342782",
            "telephone_number": "954-766-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPA",
        "first_name": "COLBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.