Active NPI
Tiziana R Pereira, SLP
- Speech-Language Pathologist
- Hollywood, FL
National Provider Identifier
1437668431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16939
- Practice address
- 3335 N University Dr Ste 5
Hollywood, FL 33024-2230 - Phone
- (954) 442-9422
- Fax
- (954) 982-7724
- NPI assigned
- Sep 22, 2017
- Last updated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16939 | FL | Primary |
Addresses
Primary practice location
3335 N University Dr Ste 5
Hollywood, FL 33024-2230
Mailing address
4703 Grapevine Way
Davie, FL 33331-3359
Phone (954) 663-4530
Other practice location 1
4703 Grapevine Way
Davie, FL 33331-3359
Phone (954) 663-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA16939 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axolotl Speech Therapy, PLLC | Single Specialty | Current | Accepting new patients |
| Specialized Speech Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Specialized Speech Center | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Hollywood, FL
- NPI 1346213576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1437668431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 GRAPEVINE WAY",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313359",
"telephone_number": "954-663-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 N UNIVERSITY DR STE 5",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242230",
"telephone_number": "954-442-9422",
"fax_number": "954-982-7724"
}
],
"practiceLocations": [
{
"address_1": "4703 Grapevine Way",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333313359",
"country_code": "US",
"telephone_number": "954-663-4530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "TIZIANA",
"middle_name": "R",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.