Active NPI
Todd Russell Fix, MA CCC-SLP
- Speech-Language Pathologist
- Winter Springs, FL
National Provider Identifier
1255765434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6295
- Practice address
- 297 Woodgreen LN
Winter Springs, FL 32708-3023 - Phone
- (407) 312-0213
- NPI assigned
- Aug 24, 2013
- Last updated
- Aug 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6295 | FL | Primary |
Addresses
Primary practice location
297 Woodgreen LN
Winter Springs, FL 32708-3023
Mailing address
297 Woodgreen LN
Winter Springs, FL 32708-3023
Phone (407) 312-0213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3280 Progress Dr
Suite 500
Orlando, FL 32826-2903
Phone (407) 882-0468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA6295 | FL | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1568497527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377302400000",
"number": "1255765434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 WOODGREEN LN",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327083023",
"telephone_number": "407-312-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 WOODGREEN LN",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327083023",
"telephone_number": "407-312-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIX",
"first_name": "TODD",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-24",
"last_updated": "2013-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.