Individual provider Active NPI

Sarah Anne Rosario Tilley, MA, CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1255004560
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14520 Issued in FL
Practice address
7975 Lake Underhill Rd Ste 300
Orlando, FL 32822-8205
Phone
(407) 303-6733
NPI assigned
Aug 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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 SA14520 FL Primary

Addresses

Primary practice location

7975 Lake Underhill Rd Ste 300
Orlando, FL 32822-8205

Mailing address

733 Delaney Park Dr
Orlando, FL 32806-1321
Phone (407) 451-8267

Other names 1

  • Sarah Anne Tilley Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA14520FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt, Inc PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 1

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1255004560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 DELANEY PARK DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061321",
            "telephone_number": "407-451-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228205",
            "telephone_number": "407-303-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO TILLEY",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TILLEY",
            "middle_name": "ANNE",
            "credential": "MA, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 1, 2021; 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.