Parker a. Martin, PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15518 Issued in FL

Legal business name

PARKER A. MARTIN, PA

Practice address

4500 North Federal Hwy
Apt 318B
Lighthouse Point, FL 33064

Phone

(954) 249-2430

Fax

(954) 947-6199

NPI assigned

Jul 1, 2017

Organization subpart

No

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

Authorized official

Name

Parker Ann Martin,M.S., CCC-SLP, SLP

Title

Owner/Speech Language Pathologist

Phone

(954) 249-2430

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1518488352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23956",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33307",
            "telephone_number": "954-249-2430",
            "fax_number": "954-947-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NORTH FEDERAL HWY",
            "address_2": "APT 318B",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-249-2430",
            "fax_number": "954-947-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 NE 34th Ln # B2",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333345375",
            "country_code": "US",
            "telephone_number": "954-249-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARKER A. MARTIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-01",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN,M.S., CCC-SLP",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "954-249-2430",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022603800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018911400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "SA15518",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lighthouse Point, FL
• Providers in Lighthouse Point, 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 May 13, 2022; 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.