Individual provider Active NPI

Jessica Lori Woytanowski

  • Speech-Language Pathologist
  • Boynton Beach, FL
National Provider Identifier
1467084921
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA18987 Issued in FL
Practice address
7410 Boynton Beach Blvd Ste B1
Boynton Beach, FL 33437-6157
Phone
(561) 223-1650
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 SA18987 FL Primary

Addresses

Primary practice location

7410 Boynton Beach Blvd Ste B1
Boynton Beach, FL 33437-6157

Mailing address

7410 Boynton Beach Blvd Ste B1
Boynton Beach, FL 33437-6157
Phone (561) 223-1650

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA18987FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Treehouse, LLC Speech-Language Pathologist CurrentSince Apr 28, 2024 Accepting new patients
Neuroscience Consultants LLP PastSince Feb 5, 2020 Accepting new patients

Locations

7410 W Boynton Beach Blvd
Ste B1
Boynton Beach, FL 33437
Phone (561) 223-1650

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1467084921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 BOYNTON BEACH BLVD STE B1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376157",
            "telephone_number": "561-223-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 BOYNTON BEACH BLVD STE B1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376157",
            "telephone_number": "561-223-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYTANOWSKI",
        "first_name": "JESSICA",
        "middle_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.