Lisa Duffy Reuther, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8112 Issued in FL

Practice address

346 E Central Ave
Winter Haven, FL 33880-3046

Phone

(863) 291-8644

Fax

(863) 293-3221

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Polk Therapy LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Winter Haven, FL
  • NPI 1043233778
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1417149758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 VALENCIA LN",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232364",
            "telephone_number": "863-248-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803046",
            "telephone_number": "863-291-8644",
            "fax_number": "863-293-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTHER",
        "first_name": "LISA",
        "middle_name": "DUFFY",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin Lee Ann Kelley Renouf
• Restoration Homes Assisted Living Facility
• Gloria Restoy, RBT-24-355005
• Resurgence Care, PLLC
• Retina Partners of Florida
• Pamela Reyes Guerrero, M.D.
• Glenda Liz Reyes
• Monika Reyes, D.M.D.
• Roberto Odracir Reyes, DMD
• Angie R. Reynolds, LMT.

• Speech-Language Pathologist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.