Organization Active NPI

Creative Speech Solutions & Therapy

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1275207060
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CREATIVE SPEECH SOLUTIONS & THERAPY
Practice address
447 Bella Vida Blvd
Orlando, FL 32828-6717
Phone
(321) 961-3489
Fax
(407) 386-6062
NPI assigned
Aug 4, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Nika Catherine PalceskiNPI 1629119896
Title
Managing Member
Phone
(407) 252-4651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Home Health Agency 251E00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

447 Bella Vida Blvd
Orlando, FL 32828-6717

Mailing address

PO Box 781577
Orlando, FL 32878-1577
Phone (321) 961-3489

Other identifiers 1

IdentifierTypeStateIssuer
006629800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Creative Speech Solutions and Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1275207060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781577",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781577",
            "telephone_number": "321-961-3489",
            "fax_number": "407-386-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BELLA VIDA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286717",
            "telephone_number": "321-961-3489",
            "fax_number": "407-386-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SPEECH SOLUTIONS & THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-09-06",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "PALCESKI",
        "authorized_official_first_name": "NIKA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-252-4651"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006629800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.