Active NPI
Joanne Spera Speech Therapy PC
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1316192941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10686
- Legal business name
- JOANNE SPERA SPEECH THERAPY PC
- Practice address
- 3305 S Orange Ave
Orlando, FL 32806-6125 - Phone
- (917) 692-1921
- Fax
- (407) 480-4088
- NPI assigned
- Nov 24, 2008
- Organization subpart
- Yes
- Parent organization
- JOANNE SPERA SPEECH THERAPY PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Joanne Christine Spera, MS,CCC/SLP-LCSW
- Title
- Speech Language Pathologist & Licen
- Phone
- (917) 692-1921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R037372-1 | NY | |
| Speech-Language Pathologist | 235Z00000X | 011298-1 | NY | |
| Speech-Language Pathologist | 235Z00000X | SA10686 | FL | Primary |
Addresses
Primary practice location
3305 S Orange Ave
Orlando, FL 32806-6125
Mailing address
2910 Banchory Rd
Winter Park, FL 32792-4502
Phone (917) 692-1921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002957700 | Medicaid | FL |
National Provider Directory
National Provider Directory- Part of
- Joanne Spera Speech Therapy PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Winter Park, FL
- NPI 1063568939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304035200000",
"number": "1316192941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 BANCHORY RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924502",
"telephone_number": "917-692-1921",
"fax_number": "321-972-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066125",
"telephone_number": "917-692-1921",
"fax_number": "407-480-4088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNE SPERA SPEECH THERAPY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOANNE SPERA SPEECH THERAPY PC",
"enumeration_date": "2008-11-24",
"last_updated": "2011-04-29",
"status": "A",
"authorized_official_last_name": "SPERA",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST & LICEN",
"authorized_official_telephone_number": "917-692-1921",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS,CCC/SLP-LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "R037372-1",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011298-1",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002957700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.