Organization Active NPI

Carolinas Speech & Language Therapy Services LLC

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1396598009
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CAROLINAS SPEECH & LANGUAGE THERAPY SERVICES LLC
Practice address
1201 NE 191St St Apt 402
Miami, FL 33179-4063
Phone
(786) 499-9762
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Carolina Elizabeth CarmonaNPI 1629436043
Title
Owner
Phone
(786) 499-9762

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 Primary

Addresses

Primary practice location

1201 NE 191St St Apt 402
Miami, FL 33179-4063

Mailing address

1201 NE 191St St Apt 402
Miami, FL 33179-4063
Phone (786) 499-9762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023004574 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547758252 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Speech Lang Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1396598009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE 191ST ST APT 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794063",
            "telephone_number": "786-499-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 191ST ST APT 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794063",
            "telephone_number": "786-499-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS SPEECH & LANGUAGE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-499-9762"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.