Active NPI
Lauren Padron, MS, SLP
- Speech-Language Pathologist
- Davie, FL
National Provider Identifier
1336402379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21774
- Practice address
- 4325 SW 74TH Way
Davie, FL 33314-3018 - Phone
- (561) 596-4444
- NPI assigned
- Jun 22, 2012
- Last updated
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA21774 | FL | Primary |
| Physical Therapy Assistant | 225200000X | PTA22644 | FL |
Addresses
Primary practice location
4325 SW 74TH Way
Davie, FL 33314-3018
Mailing address
4325 SW 74TH Way
Davie, FL 33314-3018
Phone (561) 596-4444
Other names 1
- Lauren Aguillon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA22644 | FL | MD | Physical Therapy Assistant |
| SA21774 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Speech Lab, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ms. Courtney's Therapy Services, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Ms. Courtney's Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
| DME & Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Davie, FL
- NPI 1326879248
-
dba Aberdeen Physical Therapy
- Physical Therapist
- Boynton Beach, FL
- NPI 1821170820
-
dba Connections Therapy 4 Kids
- Occupational Therapist
- Weston, FL
- NPI 1104128065
Speech-Language Pathologist
-
dba Connections Therapy 4 Kids
- Pediatric Occupational Therapist
- Weston, FL
- NPI 1033444013
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1336402379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 SW 74TH WAY",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143018",
"telephone_number": "561-596-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 SW 74TH WAY",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143018",
"telephone_number": "561-596-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "LAUREN",
"credential": "MS, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21774",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA22644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "AGUILLON",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.