Active NPI
Miriam Elias
Doing business as Imagine Speech Therapy
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1275877649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8565
- Legal business name
- MIRIAM ELIAS
- Doing business as
- Imagine Speech Therapy
- Practice address
- 1030 NE 175TH St
Miami, FL 33162 - Phone
- (786) 291-7330
- Fax
- (305) 437-8052
- NPI assigned
- Nov 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Miriam Elias, MS, CCC-SLP
- Title
- Director
- Phone
- (305) 538-4903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA8565 | FL | Primary |
Addresses
Primary practice location
1030 NE 175TH St
Miami, FL 33162
Mailing address
1030 NE 175TH St
Miami, FL 33162-1237
Phone (786) 291-7330
Other practice location 1
4219 Sheridan Ave
Miami Beach, FL 33140-3115
Phone (305) 538-4903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889927400 | Medicaid | FL |
Other names 1
- Imagine Speech Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1063544252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1275877649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 NE 175TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331621237",
"telephone_number": "786-291-7330",
"fax_number": "305-437-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 NE 175TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33162",
"telephone_number": "786-291-7330",
"fax_number": "305-437-8052"
}
],
"practiceLocations": [
{
"address_1": "4219 Sheridan Ave",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331403115",
"country_code": "US",
"telephone_number": "305-538-4903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MIRIAM ELIAS",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ELIAS",
"authorized_official_first_name": "MIRIAM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "305-538-4903",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889927400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Imagine Speech Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.