Organization Active NPI

Everspark Therapy Services LLC

  • Speech-Language Pathologist
  • Winter Haven, FL
National Provider Identifier
1295632586
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EVERSPARK THERAPY SERVICES LLC
Practice address
111 W Central Ave Unit 1021
Winter Haven, FL 33882-7042
Phone
(656) 269-3777
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Ms. Marian Denise Merced Santos, SLP
Title
Owner
Phone
(656) 269-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

111 W Central Ave Unit 1021
Winter Haven, FL 33882-7042

Mailing address

PO Box 1021
Winter Haven, FL 33882-1021
Phone (656) 269-3777

National Provider Directory

National Provider Directory

Locations

111 W Central Ave
Unit 1021
Winter Haven, FL 33882

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1295632586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1021",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338821021",
            "telephone_number": "656-269-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CENTRAL AVE UNIT 1021",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338827042",
            "telephone_number": "656-269-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSPARK THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "MERCED SANTOS",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "656-269-3777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.