Organization Active NPI

Speech Connection LLC

  • Speech-Language Pathologist
  • Land O Lakes, FL
National Provider Identifier
1326316696
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8085 Issued in FL
Legal business name
SPEECH CONNECTION LLC
Practice address
16697 Shell Bay Dr Bay
Land O Lakes, FL 34638-5749
Phone
(727) 631-2466
Fax
(813) 345-2896
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Tina Porreca, M.S., CCC-SLP
Title
Owner/Manager
Phone
(727) 631-2466

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X SA8085 FL
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X FL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X FL
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X FL
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X SA8085
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA8085 FL Primary
Early Intervention Provider Agency 252Y00000X SA8085 FL

Addresses

Primary practice location

16697 Shell Bay Dr Bay
Land O Lakes, FL 34638-5749

Mailing address

16697 Shell Bay Dr
Land O Lakes, FL 34638-5749
Phone (727) 631-2466

Other identifiers 3

IdentifierTypeStateIssuer
009661900MedicaidFL
013550300MedicaidFL
010868800MedicaidFL

Other names 1

  • LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1326316696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16697 SHELL BAY DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385749",
            "telephone_number": "727-631-2466",
            "fax_number": "813-345-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16697 SHELL BAY DR BAY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385749",
            "telephone_number": "727-631-2466",
            "fax_number": "813-345-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "PORRECA",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "727-631-2466",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA8085",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": "SA8085",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8085",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SA8085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009661900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013550300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010868800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.