Individual provider Active NPI

Maria Laura Di Carlo, CCC-MS-SLP-AUD

  • Speech-Language Pathologist
  • Miami Beach, FL
National Provider Identifier
1528265204
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8993 Issued in FL
Practice address
900 Bay Dr Apt 919
Miami Beach, FL 33141-5672
Phone
(305) 397-8993
Fax
(305) 763-8029
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY6289 FL
Speech-Language Pathologist 235Z00000X SA8993 FL Primary

Addresses

Primary practice location

900 Bay Dr Apt 919
Miami Beach, FL 33141-5672

Mailing address

5120 SW 92ND Ter
Cooper City, FL 33328-4219
Phone (305) 439-3488

Other practice location 1

7000 W 12th Ave Ste 20
Hialeah, FL 33014-5154
Phone (786) 534-5435

Other identifiers 3

IdentifierTypeStateIssuer
AY2689OtherFLSTATE LICENSE
017068OtherNYSTATE LICENSE
SA8993OtherFLSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000271 FL Practitioner - Qualified Speech Language Pathologist 8729446927 Practice locations: Cooper City, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY6289FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audio Care & Therapy Center Inc Audiologist CurrentSince Aug 6, 2023 Accepting new patients
Therapy Team Solutions Inc Speech-Language Pathologist CurrentSince Jun 23, 2024 Accepting new patients

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1528265204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 92ND TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284219",
            "telephone_number": "305-439-3488",
            "fax_number": "305-763-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BAY DR APT 919",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415672",
            "telephone_number": "305-397-8993",
            "fax_number": "305-763-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 W 12th Ave Ste 20",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330145154",
            "country_code": "US",
            "telephone_number": "786-534-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI CARLO",
        "first_name": "MARIA",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "CCC-MS-SLP-AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY6289",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AY2689",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "017068",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SA8993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.