Antonietta Lucia Mastrota, M.S, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ8796 Issued in FL

Practice address

2957 W State Road 434 Ste 100
Longwood, FL 32779-4453

Phone

(407) 960-4049

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Antonietta Mastrota Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1447734009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LAKE AVE APT 329",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 W STATE ROAD 434 STE 100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794453",
            "telephone_number": "407-960-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROTA",
        "first_name": "ANTONIETTA",
        "middle_name": "LUCIA",
        "credential": "M.S, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FD337Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPARTMENT OF HEALTH",
            "identifier": "SZ8796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIETTA",
            "last_name": "MASTROTA",
            "credential": "TONI MASTROTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria Martinez, BEHAVIOR TECHNICIAN
• Carli Masiarczyk, COTA
• Joseph Masri, MSW
• Shawn Yvonne Massaro, APRN
• Jasmine Iman Massey
• Maternal Home Childbirth Services, LLC
• Lynsey Materni
• Kshema Puthenkavil Mathew
• Tiffany Mathews
• Linda Marie Matteoli, D.O,

• Speech-Language Pathologist in Longwood, FL
• Providers in Longwood, 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 Oct 2, 2018; 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.