Lemon Tree Rehabilitative Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LEMON TREE REHABILITATIVE SERVICES LLC

Practice address

850 Indigo St
Fernandina Beach, FL 32034-3763

Phone

(904) 704-5565

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie DesiletNPI 1861861460

Title

Owner

Phone

(904) 704-5565

Specialties & licenses 1

Addresses

Other names 1

• Lemon Tree Speech Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Desilet, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fernandina Beach, FL
  • NPI 1861861460
  Medicare reassignment NPD Authorized official
• Andrea Anderson Kosciulek, M.S.

  • Speech-Language Pathologist
  • Fernandina Beach, FL
  • NPI 1144450198
  Medicare reassignment NPD
• Laura Frances Momnie, SLP

  • Speech-Language Pathologist
  • Fernandina Beach, FL
  • NPI 1669817268
  Medicare reassignment NPD

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1457189698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER OAKS DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320349278",
            "telephone_number": "904-704-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 INDIGO ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343763",
            "telephone_number": "904-704-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON TREE REHABILITATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "DESILET",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-704-5565"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemon Tree Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lemon Tree Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Glenn Le-Bert, D.O.
• Taylor A Leard, PA-C
• Lee Chiropractic Clinic Inc
• Joseph Michael Lee, DC
• Lina Lehner, RD, LD
• Gabriella Leon, ISW
• Vanessa Lewallen, LAC
• Warren Zachary Lewis, LMT
• Jeffrey Mark Lezynski, AUD
• Jo Lichten, PHD, RDN

• Speech-Language Pathologist in Fernandina Beach, FL
• Providers in Fernandina 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 Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.