Indiomi Peng Simon

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI6787 Issued in FL

Practice address

1476 N Homestead Blvd
Homestead, FL 33030-5008

Phone

(786) 339-8524

NPI assigned

Dec 4, 2023

Last updated

Dec 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reyes Therapy Services, Corp

  • Clinic/Center
  • Homestead, FL
  • NPI 1083111983
  NPD

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1427825132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 NE 1ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337465",
            "telephone_number": "786-586-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 N HOMESTEAD BLVD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305008",
            "telephone_number": "786-339-8524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 NW 79th Ave Ste 116-117",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221073",
            "country_code": "US",
            "telephone_number": "305-591-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG SIMON",
        "first_name": "INDIOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6787",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-272338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro D Penabad, MS
• Amaray Penalba Perez
• George Manuel Penaloza
• Evelyn Penalver Rojas
• Patricia Penate Valldeperas
• Laura Penton, PT, DPT
• Sylvia Margarita Pera
• Alejandra Valeria Peralba
• Yanira Peralta
• Mirielis Peraza Echevarria

• Speech-Language Assistant in Homestead, FL
• Providers in Homestead, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; 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.