Individual provider Active NPI

Giovanna Centeno

  • Speech-Language Pathologist
  • Lake Mary, FL
National Provider Identifier
1265258917
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA24860 Issued in FL
Practice address
1061 S Sun Dr Ste 1089
Lake Mary, FL 32746-6169
Phone
(407) 323-6955
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ12476 FL
Speech-Language Assistant 2355S0801X 6083 FL
Speech-Language Pathologist 235Z00000X SA24860 FL Primary

Addresses

Primary practice location

1061 S Sun Dr Ste 1089
Lake Mary, FL 32746-6169

Mailing address

962 Bentstation LN Apt 346
Lake Mary, FL 32746-2278
Phone (407) 687-6372

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

State licenses

LicenseStateTypeSpecialty
6083FLMDSpeech-Language Assistant
SZ12476FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Rehab, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

1061 S Sun Dr
Ste 1089
Lake Mary, FL 32746
Phone (407) 203-2369

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1265258917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 BENTSTATION LN APT 346",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462278",
            "telephone_number": "407-687-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S SUN DR STE 1089",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466169",
            "telephone_number": "407-323-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "GIOVANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12476",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "6083",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA24860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.