NPIMap

Organization Active NPI

Sundance Therapy Inc.

  • Speech-Language Pathologist
  • Sebring, FL
National Provider Identifier
1477726099
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7990 Issued in FL
Legal business name
SUNDANCE THERAPY INC.
Practice address
1102 S Canal Blvd
Sebring, FL 33870-1132
Phone
(863) 414-0211
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mrs. Meredith Saxon Ritacco, M.S., CCC-SLP
Title
Speech-Language Pathologist
Phone
(863) 414-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA7990 FL Primary

Addresses

Primary practice location

1102 S Canal Blvd
Sebring, FL 33870-1132

Mailing address

1102 S Canal Blvd
Sebring, FL 33870-1132
Phone (863) 414-0211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1477726099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S CANAL BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701132",
            "telephone_number": "863-414-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S CANAL BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701132",
            "telephone_number": "863-414-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "RITACCO",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "SAXON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "863-414-0211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.