Individual provider Active NPI

Marcelo Silva

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1548836778
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11062 Issued in FL
Practice address
5728 Major Blvd Ste 600
Orlando, FL 32819-7970
Phone
(407) 280-3776
Fax
(407) 454-9007
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 SZ11062 FL Primary

Addresses

Primary practice location

5728 Major Blvd Ste 600
Orlando, FL 32819-7970

Mailing address

2415 Fabry Cir
Orlando, FL 32817-2756

Other identifiers 1

IdentifierTypeStateIssuer
SZ11062OtherFLFLORIDA DEPARTMENT OF HEALTH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ11062FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Children'S Therapy CurrentSince Jun 22, 2021 Accepting new patients
Services by Amy LLC Speech-Language Pathologist PastSince Jun 22, 2021 Accepting new patients

Locations

5728 Major Blvd
Ste 600
Orlando, FL 32819
Phone (407) 280-3776

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1548836778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 FABRY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197970",
            "telephone_number": "407-280-3776",
            "fax_number": "407-454-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MARCELO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SZ11062",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.