NPIMap

Organization Active NPI

Florida Atlantic University

Doing business as Communication Sciences & Disorders

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1245873975
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FLORIDA ATLANTIC UNIVERSITY
Doing business as
Communication Sciences & Disorders
Practice address
777 Glades Rd BLDG 47, RM 413
Boca Raton, FL 33431-6424
Phone
(561) 297-3000
NPI assigned
Oct 25, 2019
Last updated
Apr 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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

Authorized official

Name
Louisa Pontiroli-Kelly
Title
Authorized Official
Phone
(561) 297-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

777 Glades Rd BLDG 47, RM 413
Boca Raton, FL 33431-6424

Mailing address

777 Glades Rd BLDG 47, RM 413
Boca Raton, FL 33431-6424
Phone (561) 297-3000

Other names 1

  • Communication Sciences & Disorders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001511 FL Part B Supplier - Clinic/Group Practice 8921097171 Receives reassigned benefits from 30 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Palm Beach, FL; Boca Raton, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Board of Trustees of Florida Atlantic University8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

777 Glades Rd
Bldg 47
Boca Raton, FL 33431
Phone (561) 297-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681516800000",
    "number": "1245873975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 GLADES RD BLDG 47, RM 413",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD BLDG 47, RM 413",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ATLANTIC UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "PONTIROLI-KELLY",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-297-2897"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Communication Sciences & Disorders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Communication Sciences & Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.