Treasure Coast Pediatric Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11039 Issued in FL

Legal business name

TREASURE COAST PEDIATRIC THERAPY SERVICES, LLC

Practice address

6526 S Kanner Hwy
#222
Stuart, FL 34997-6396

Phone

(772) 708-9383

NPI assigned

Apr 10, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen C Kelsay, M.S., CCC-SLP

Title

Owner/Speech-Language Pathologist

Phone

(772) 708-9383

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460246400000",
    "number": "1265896815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 S KANNER HWY",
            "address_2": "#222",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976396",
            "telephone_number": "772-708-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 S KANNER HWY",
            "address_2": "#222",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976396",
            "telephone_number": "772-708-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-04-10",
        "status": "A",
        "authorized_official_last_name": "KELSAY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "772-708-9383",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; 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.