Organization Active NPI

Therapy Link of Central Florida, PLLC

  • Speech-Language Pathologist
  • Clermont, FL
National Provider Identifier
1417308792
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12260 Issued in FL
Legal business name
THERAPY LINK OF CENTRAL FLORIDA, PLLC
Practice address
16021 St Clair St
Clermont, FL 34714-6517
Phone
(352) 404-8503
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Maureen Krurnowski, M.S.,CCC-SLP
Title
Co-Owner
Phone
(352) 404-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA12260 FL Primary

Addresses

Primary practice location

16021 St Clair St
Clermont, FL 34714-6517

Mailing address

16021 St Clair St
Clermont, FL 34714-6517
Phone (352) 404-8503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1417308792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 ST CLAIR ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146517",
            "telephone_number": "352-404-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 ST CLAIR ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146517",
            "telephone_number": "352-404-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY LINK OF CENTRAL FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "KRURNOWSKI",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-404-8503",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12260",
            "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 Jun 28, 2016; 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.