Organization Active NPI

Miriam Elias

Doing business as Imagine Speech Therapy

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1275877649
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8565 Issued in FL
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Miriam Elias, MS, CCC-SLPNPI 1063544252
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
889927400MedicaidFL

Other names 1

  • Imagine Speech Therapy Doing business as

National Provider Directory

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.

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.

Verify at the official NPI Registry.