Active NPI
Marisa McAvoy
- Speech-Language Pathologist
- Clermont, FL
National Provider Identifier
1376152926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA24169
- Practice address
- 2400 S Hwy 27 Ste B201
Clermont, FL 34711-6816 - Phone
- (352) 394-0212
- NPI assigned
- Jul 29, 2020
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 031362 | NY | |
| Speech-Language Pathologist | 235Z00000X | SA24169 | FL | Primary |
Addresses
Primary practice location
2400 S Hwy 27 Ste B201
Clermont, FL 34711-6816
Mailing address
2400 S Hwy 27 Ste B201
Clermont, FL 34711-6816
Other practice location 1
3301 Quentin Rd
Brooklyn, NY 11234-4296
Phone (718) 998-4298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Hwy 27
Suite B201
Clermont, FL 34711-6816
Phone (352) 394-0212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA24169 | FL | MD | Speech-Language Pathologist |
| 031362 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Sounds of Ny | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- Clermont, FL
- NPI 1215017512
-
- Local Education Agency (LEA)
- New York, NY
- NPI 1578870721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376152926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S HWY 27 STE B201",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S HWY 27 STE B201",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816",
"telephone_number": "352-394-0212"
}
],
"practiceLocations": [
{
"address_1": "3301 Quentin Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112344296",
"country_code": "US",
"telephone_number": "718-998-4298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCAVOY",
"first_name": "MARISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031362",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA24169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.