Individual provider Active NPI

Rita Michelle Seymour, MA CCC/SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1306633664
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8502 Issued in FL
Practice address
9601 Southbrook Dr
Jacksonville, FL 32256-0601
Phone
(904) 641-7501
NPI assigned
Apr 21, 2025
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA8502 FL Primary

Addresses

Primary practice location

9601 Southbrook Dr
Jacksonville, FL 32256-0601

Mailing address

55 Bucktail Ave
Ponte Vedra, FL 32081-6180
Phone (352) 222-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124000442 FL Practitioner - Qualified Speech Language Pathologist 7719479195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Winding Rock Rd
Simpsonville, SC 29680-2486

55 Bucktail Ave
Ponte Vedra, FL 32081-6180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA8502FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Multi-Specialty CurrentSince Nov 3, 2025 Accepting new patients
Ap Therapy LLC Multi-Specialty CurrentSince Nov 3, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1306633664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BUCKTAIL AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816180",
            "telephone_number": "352-222-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 SOUTHBROOK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560601",
            "telephone_number": "904-641-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "RITA",
        "middle_name": "MICHELLE",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.