Organization Active NPI

SPT KR LLC

  • Speech-Language Pathologist
  • Largo, FL
National Provider Identifier
1407421100
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPT KR LLC
Practice address
200 Clearwater Largo Rd S
Largo, FL 33770-3228
Phone
(727) 581-4648
NPI assigned
May 25, 2021
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Kevin Ryan Rockefeller
Title
Manager
Phone
(904) 422-5231

Specialties & licenses 1

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

Addresses

Primary practice location

200 Clearwater Largo Rd S
Largo, FL 33770-3228

Mailing address

200 Clearwater Largo Rd S
Largo, FL 33770-3235
Phone (904) 422-5231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210623000346 FL Part B Supplier - Clinic/Group Practice 9335540723 Receives reassigned benefits from 3 practitioners
Practice locations: Tarpon Springs, FL; Zephyrhills, FL; Winter Garden, FL; The Villages, FL; Stuart, FL; St Petersburg, FL; Sarasota, FL; Palm Bay, FL…

National Provider Directory

National Provider Directory

Locations

200 Clearwater Largo Rd S
Largo, FL 33770
Phone (727) 489-0857

Practitioners & affiliated clinicians

Practitioners 4

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": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1407421100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLEARWATER LARGO RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703235",
            "telephone_number": "904-422-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLEARWATER LARGO RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703228",
            "telephone_number": "727-581-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPT KR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "ROCKEFELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-422-5231"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.