Individual provider Active NPI

Joan I Levy, CCC-SLP

  • Speech-Language Pathologist
  • Parkland, FL
National Provider Identifier
1407853591
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5588 Issued in FL
Practice address
10973 NW 64TH Dr
Parkland, FL 33076-3738
Phone
(954) 529-7300
Fax
(754) 529-8998
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA5588 FL Primary

Addresses

Primary practice location

10973 NW 64TH Dr
Parkland, FL 33076-3738

Mailing address

10973 NW 64TH Dr
Parkland, FL 33076-3738
Phone (954) 529-7300

Other identifiers 2

IdentifierTypeStateIssuer
889195800MedicaidFL
SA5588OtherFLSTATE OF FLORIDA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000057 FL Practitioner - Qualified Speech Language Pathologist 3072422120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leverage Health IncGroup PAC ID 4688860513, 32 clinicians

Practice addresses (Care Compare)

2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306-1608
Phone (954) 630-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leverage Health, Inc. CurrentSince Jun 5, 2017 Accepting new patients
Jr Levy, Inc. Speech-Language Pathologist PastSince Dec 8, 2009 Accepting new patients

Locations

2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1407853591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10973 NW 64TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763738",
            "telephone_number": "954-529-7300",
            "fax_number": "754-529-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10973 NW 64TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763738",
            "telephone_number": "954-529-7300",
            "fax_number": "754-529-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JOAN",
        "middle_name": "I",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889195800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA LICENSE",
            "identifier": "SA5588",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.

Verify at the official NPI Registry.