Organization Active NPI

Joanne Spera Speech Therapy PC

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1316192941
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10686 Issued in FL
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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-LCSWNPI 1063568939
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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X R037372-1 NY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 011298-1 NY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002957700MedicaidFL

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.

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.

Verify at the official NPI Registry.