Motor Mouth Speech and Feeding Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11587 Issued in FL

Legal business name

MOTOR MOUTH SPEECH AND FEEDING THERAPY LLC

Practice address

110 Solana Rd
Ponte Vedra Beach, FL 32082

Phone

(321) 230-3800

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Brooke Lane Wilson, SLP-CCC

Title

Owner, Speech Pathologist

Phone

(321) 230-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1447780028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825206",
            "telephone_number": "321-230-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "321-230-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR MOUTH SPEECH AND FEEDING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER, SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "321-230-3800",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Moore, BCBA
• Sarah Morgan
• Shannon Morgan, FNP-BC
• Elizabeth Moscarillo, LMHC
• Lewis Jay Moskowitz, LMHC
• Sarita Marie Mullin, L.C.S.W.
• Bryanna Dorothy Mulshenock, MSN, NP-C
• Meghan Mundt
• Blaire Murphy
• My Virtual MD, LLC

• Speech-Language Pathologist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, 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 14, 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.