Michelle Gillespie, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ9598 Issued in FL

Practice address

6977 Professional Pkwy E
Lakewood Ranch, FL 34240-8411

Phone

(941) 758-3140

Fax

(941) 702-9988

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rick Haupt Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1508134586
  NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1285246496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 PROFESSIONAL PKWY E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-758-3140",
            "fax_number": "941-702-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6977 PROFESSIONAL PKWY E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-758-3140",
            "fax_number": "941-702-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SZ9598",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "6977 Professional Pkwy E",
            "city": "Lakewood Ranch",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342408411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Macey Blake Gerolemon, IBCLC
• Jennifer Gerstung
• Liam Ghazal, DMD
• Sydney Gibson, APRN
• Molly P Gilbert, M.A., CCC-SLP
• Hermanda Glaser, M.D.
• Grace Gleba, AUD
• Amitabh Goel, MD
• Brunel Teresa Gomez de Tavarez, MD
• Jessica Lynn Gomez, LMHC

• Speech-Language Pathologist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, 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 Aug 19, 2020; 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.