Little Champions Therapy

Organization Active NPI Speech-Language Pathologist · Eustis, FL

NPI 1285382192 · NPPES record last updated Mar 11, 2022

Key facts

NPI
1285382192
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
LITTLE CHAMPIONS THERAPY
Practice address
6 N Eustis St
Eustis, FL 32726-3408
Phone
(321) 276-5054
Fax
(888) 719-7820
NPI assigned
Mar 10, 2022
Organization subpart
No

Authorized official

Name
Sary Noncent NPI 1235535832
Title
Owner
Phone
(321) 276-5054

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

365 Citrus Tower Blvd
Ste 106
Clermont, FL 34711
Phone (321) 276-5054

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
222Q00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

6 N Eustis St
Eustis, FL 32726-3408

Mailing address

10879 Lantana CRST
Clermont, FL 34711-8990
Phone (321) 276-5054

Other practice location 1

365 Citrus Tower Blvd Ste 106
Clermont, FL 34711-6532
Phone (321) 276-5054

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2022.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1285382192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10879 LANTANA CRST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118990",
            "telephone_number": "321-276-5054",
            "fax_number": "888-719-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263408",
            "telephone_number": "321-276-5054",
            "fax_number": "888-719-7820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Citrus Tower Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116532",
            "country_code": "US",
            "telephone_number": "321-276-5054",
            "fax_number": "888-719-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE CHAMPIONS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "NONCENT",
        "authorized_official_first_name": "SARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-276-5054"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

All providers in Eustis, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.