Individual provider Active NPI

Antonia Marie Minervini, M.S., CF-SLP

  • Speech-Language Pathologist
  • North Palm Beach, FL
National Provider Identifier
1447869987
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9638 Issued in FL
Practice address
1201 US Highway 1 Ste 215
North Palm Beach, FL 33408-3547
Phone
(561) 776-8612
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ9638 FL Primary

Addresses

Primary practice location

1201 US Highway 1 Ste 215
North Palm Beach, FL 33408-3547

Mailing address

1201 US Highway 1 Ste 215
North Palm Beach, FL 33408-3547
Phone (561) 766-8612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000758 FL Practitioner - Qualified Speech Language Pathologist 5395134217 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Movement Therapy Center-Boynton Beach IncGroup PAC ID 1759464837, 17 clinicians
Florida Movement Therapy Center-Boca Raton, LLCGroup PAC ID 6507014768, 13 clinicians
Metro Physical and Occupational Therapy IncGroup PAC ID 7517228562, 6 clinicians

Practice addresses (Care Compare)

12040 S Jog Rd
Suite 8
Boynton Beach, FL 33437-4164
Phone (561) 733-5083

21345 Powerline Rd
Suite 100
Boca Raton, FL 33433-2307
Phone (561) 883-7800

301 Croton Ave
Apt 309
Lantana, FL 33462-2945
Phone (561) 797-2343

9130 Hypoluxo Rd
Lake Worth, FL 33467-5285
Phone 5167458070520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ9638FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boynton Beach Inc CurrentSince Nov 2, 2021 Accepting new patients
Florida Movement Therapy Center-Boca Raton, LLC Speech-Language Pathologist CurrentSince Nov 1, 2021 Accepting new patients
F.I.T. PT, LLC Speech-Language Pathologist CurrentSince Dec 26, 2023 Accepting new patients
Antonia Minervini Ms CCC SLP PA Speech-Language Pathologist CurrentSince Aug 10, 2024 Accepting new patients
Metro Physical & Occupational Therapy Inc CurrentSince Dec 4, 2023 Accepting new patients
Speech and Learning Institute, Inc. PastSince Aug 2, 2020 Accepting new patients
Neuroscience Consultants LLP PastSince Nov 4, 2021 Accepting new patients

Locations

21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

12040 S Jog Rd
Ste 7
Boynton Beach, FL 33437
Phone (561) 733-5083

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1447869987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 1 STE 215",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083547",
            "telephone_number": "561-766-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 1 STE 215",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083547",
            "telephone_number": "561-776-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERVINI",
        "first_name": "ANTONIA",
        "middle_name": "MARIE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.