Individual provider Active NPI

Patricia Jo Cowperthwaite

  • Speech-Language Pathologist
  • Clermont, FL
National Provider Identifier
1255474656
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4349 Issued in AZ
Practice address
10604 Cedar Forest Cir
Clermont, FL 34711-6151
Phone
(623) 340-1500
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 4349 AZ Primary

Addresses

Primary practice location

10604 Cedar Forest Cir
Clermont, FL 34711-6151

Mailing address

4870 N Litchfield Rd
Ste 101
Litchfield Park, AZ 85340-5041
Phone (623) 935-6040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200314000327 AZ Practitioner - Qualified Speech Language Pathologist 4880022425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4349AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Speech-Language Pathologist CurrentSince Jul 26, 2025 Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1255474656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 N LITCHFIELD RD",
            "address_2": "STE 101",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405041",
            "telephone_number": "623-935-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 CEDAR FOREST CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116151",
            "telephone_number": "623-340-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWPERTHWAITE",
        "first_name": "PATRICIA",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "4349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.