Organization Active NPI

Speech Therapy Associates of Florida, LLC

  • Speech-Language Pathologist
  • Lake Mary, FL
National Provider Identifier
1326357542
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH THERAPY ASSOCIATES OF FLORIDA, LLC
Practice address
4051 Kirkland Way
Lake Mary, FL 32746-1840
Phone
(727) 698-1889
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Wendy Wilkes, M.A. CCC-SLP
Title
Speech Language Pathologist
Phone
(727) 698-1889

Specialties & licenses 1

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

Addresses

Primary practice location

4051 Kirkland Way
Lake Mary, FL 32746-1840

Mailing address

4051 Kirkland Way
Lake Mary, FL 32746-1840
Phone (727) 698-1889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1326357542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 KIRKLAND WAY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461840",
            "telephone_number": "727-698-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 KIRKLAND WAY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461840",
            "telephone_number": "727-698-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY ASSOCIATES OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "727-698-1889",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.