Individual provider Active NPI

Linda Hu Kishtok, SLP

  • Speech-Language Pathologist
  • Port Charlotte, FL
National Provider Identifier
1255069597
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16182 Issued in FL
Practice address
20480 Veterans Blvd
Port Charlotte, FL 33954-2264
Phone
(941) 235-6000
NPI assigned
Aug 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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 SA16182 FL Primary

Addresses

Primary practice location

20480 Veterans Blvd
Port Charlotte, FL 33954-2264

Mailing address

465 Suncrest CT
Oviedo, FL 32765-9671
Phone (407) 342-9279

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab SLP FL LLC Speech-Language Pathologist CurrentSince Sep 13, 2024 Accepting new patients
Five Star Rehabilitation and Wellness Services, LLC PastSince May 28, 2019 Accepting new patients

Locations

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

7 Carnegie Plz
Cherry Hill, NJ 08003

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": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1255069597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SUNCREST CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659671",
            "telephone_number": "407-342-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 VETERANS BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542264",
            "telephone_number": "941-235-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHTOK",
        "first_name": "LINDA",
        "middle_name": "HU",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.