Orlando Speech Clinic, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

ORLANDO SPEECH CLINIC, LLC

Practice address

646 W Smith St Unit 558
Orlando, FL 32804-5384

Phone

(407) 883-3295

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ivanna Ortiz, MS/CCC-SLPNPI 1518352475

Title

Speech Language Pathologist/Manager

Phone

(407) 883-3295

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Ivanna Ortiz, M.A, CCC-SLP

  • Speech-Language Pathologist
  • Coral Gables, FL
  • NPI 1518352475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1275222796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W SMITH ST UNIT 558",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045384",
            "telephone_number": "407-883-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W SMITH ST UNIT 558",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045384",
            "telephone_number": "407-883-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO SPEECH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "IVANNA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "407-883-3295",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518352475",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orlando Spine and Wellness Center
• Orlando Sports Chiropractic, Inc.
• Orlando Sports Medicine Group Inc
• Orlando Sports Medicine Group, Inc
• Orlando Stuttering Center

• Hearing and Speech Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.