NPIMap

Organization Active NPI

Bonavox Therapies Inc.

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1356785653
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9486 Issued in FL
Legal business name
BONAVOX THERAPIES INC.
Practice address
4033 Ibis Dr
Orlando, FL 32803-3043
Phone
(407) 776-6631
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mrs. Dietra Kathy Von Taborsky, M.A.CCC-SLPNPI 1629246939
Title
Speech Therapist
Phone
(407) 766-6315

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA9486 FL Primary

Addresses

Primary practice location

4033 Ibis Dr
Orlando, FL 32803-3043

Mailing address

4033 Ibis Dr
Orlando, FL 32803-3043
Phone (407) 776-6631

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1356785653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 IBIS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033043",
            "telephone_number": "407-776-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 IBIS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033043",
            "telephone_number": "407-776-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVOX THERAPIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "VON TABORSKY",
        "authorized_official_first_name": "DIETRA",
        "authorized_official_middle_name": "KATHY",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "407-766-6315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9486",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2013; 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.