Organization Active NPI

Sertoma Kids Inc.

  • Speech-Language Pathologist
  • Sarasota, FL
National Provider Identifier
1356095681
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SERTOMA KIDS INC.
Practice address
2750 Stickney Point Rd Ste 210
Sarasota, FL 34231-6000
Phone
(941) 922-1028
Fax
(941) 306-1805
NPI assigned
Feb 6, 2022
Last updated
Feb 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Pam Plank, M.A.CCC-SLP
Title
Speech Language Pathologist
Phone
(941) 922-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2750 Stickney Point Rd Ste 210
Sarasota, FL 34231-6000

Mailing address

2750 Stickney Point Rd Ste 210
Sarasota, FL 34231-6000
Phone (941) 922-1028

National Provider Directory

National Provider Directory

Locations

2750 Stickney Point Rd
Ste 210
Sarasota, FL 34231
Phone (941) 228-1062

Practitioners & affiliated clinicians

Practitioners 3

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": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1356095681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 STICKNEY POINT RD STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316000",
            "telephone_number": "941-922-1028",
            "fax_number": "941-306-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 STICKNEY POINT RD STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316000",
            "telephone_number": "941-922-1028",
            "fax_number": "941-306-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERTOMA KIDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "PLANK",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "941-922-1028",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.