Cindy Peters-Pontones, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA145 Issued in FL

Practice address

1333 Gateway Dr Ste 1014
Melbourne, FL 32901-2647

Phone

(321) 432-2572

Fax

(321) 768-2489

NPI assigned

Dec 26, 2006

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Therapy Services

  • Developmentally Disabled Services Day Training Agency
  • Melbourne, FL
  • NPI 1043322639
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1558426148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 GATEWAY DR STE 1014",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012647",
            "telephone_number": "321-432-2572",
            "fax_number": "321-768-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 GATEWAY DR STE 1014",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012647",
            "telephone_number": "321-432-2572",
            "fax_number": "321-768-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS-PONTONES",
        "first_name": "CINDY",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880077400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Jose Pesquera
• Mark Edmund Pessa, M.D.
• Peter a Koretsky MD PA
• Peter P Zabinski MD Urology LLC
• Najia Elaine Peterkin
• Elizabeth L Peters, FNP-C
• Jacquelyn Peters, APRN
• Myrna Alvarez Peterson-Weimann, LMHC
• Ann E. Peterson, MD
• Elizabeth Peterson, RN

• Speech-Language Pathologist in Melbourne, FL
• Providers in Melbourne, 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 Jul 18, 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.