Organization Active NPI

Wonder Wings Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Apopka, FL
National Provider Identifier
1528873437
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WONDER WINGS PEDIATRIC THERAPY, LLC
Practice address
314 Mantis Loop
Apopka, FL 32703-4493
Phone
(407) 756-7211
NPI assigned
Feb 8, 2025
Last updated
Feb 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Authorized official

Name
Anaya RuizNPI 1750061586
Title
Owner
Phone
(407) 756-7211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

314 Mantis Loop
Apopka, FL 32703-4493

Mailing address

314 Mantis Loop
Apopka, FL 32703-4493
Phone (407) 756-7211

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738972800000",
    "number": "1528873437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MANTIS LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034493",
            "telephone_number": "407-756-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MANTIS LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034493",
            "telephone_number": "407-756-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER WINGS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ANAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-756-7211"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.