New Life Therapy Group, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9162 Issued in FL

Legal business name

NEW LIFE THERAPY GROUP, INC

Practice address

968 Troon Trce
Winter Springs, FL 32708-4318

Phone

(407) 619-5427

Fax

(321) 348-3604

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Cruz, MS

Title

President/Clinical Director

Phone

(407) 619-5427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1568654739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD # 177",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "407-619-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 TROON TRCE",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084318",
            "telephone_number": "407-619-5427",
            "fax_number": "321-348-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-619-5427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Winter Springs, FL
• Providers in Winter Springs, 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 Aug 13, 2007; 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.