Gulf Coast Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GULF COAST THERAPY SERVICES LLC

Practice address

2471 King Arthurs CT
Fort Myers, FL 33912-1640

Phone

(304) 288-6115

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jaclyn Dea Hartley, M.S., CCC/SLPNPI 1801086772

Title

Speech Language Pathologist, Owner

Phone

(304) 288-6115

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Dea Hartley, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Fort Myers, FL
  • NPI 1801086772
  NPD Authorized official

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1275266355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 KING ARTHURS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121640",
            "telephone_number": "304-288-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 KING ARTHURS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121640",
            "telephone_number": "304-288-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "DEA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "304-288-6115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gulf Coast Wellness Center Inc
• Gulf Coast Wellness Institute Corp
• Gulf Medical Equipment Inc
• Gulf Shore Internal Medicine, P.a.
• Gulf-to-Bay Anesthesiology Associates LLC

• Speech-Language Pathologist in Fort Myers, FL
• Providers in Fort Myers, 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 Jul 6, 2022; 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.