Active NPI
Page Moorefield Hyler
- Speech-Language Pathologist
- Indialantic, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18925
- Practice address
- 430 Wayne Ave
Indialantic, FL 32903-4237 - Phone
- (321) 609-7292
- NPI assigned
- Apr 27, 2021
- Last updated
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA18925 | FL | Primary |
Addresses
Primary practice location
430 Wayne Ave
Indialantic, FL 32903-4237
Mailing address
430 Wayne Ave
Indialantic, FL 32903-4237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
910 Regency Sq
Vero Beach, FL 32967
Phone (772) 213-0423
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 2
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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Vero Beach, FL
- NPI 1710789565
Speech-Language Pathologist
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1295317410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WAYNE AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WAYNE AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034237",
"telephone_number": "321-609-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYLER",
"first_name": "PAGE",
"middle_name": "MOOREFIELD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indialantic, FL
- Antoine S Hedary
- His Business Not Mine, Inc (FYZICAL Therapy & Balance Center - Mel Beach)
- Holiday CVS LLC (CVS Pharmacy 03151)
- Paula Relyea Holsinger, LMT
- Rebecca Price Hunton, M.D.
- Pauline R Hyvonen, MD
- Imagine Pediatric Therapy of Brevard, LLC
- In2 Health, Inc.
- Indialantic Chiropractic & Acupuncture Inc
- Indialantic Dental PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.