Sunny Side Up Therapy and Consulting, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SUNNY SIDE UP THERAPY AND CONSULTING, LLC

Practice address

2831 Allegra Way
Lutz, FL 33559-6999

Phone

(813) 421-1634

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Melissa Dorothy Lorenzo, M.S., CCC-SLPNPI 1942679725

Title

Speech Language Pathologist, Owner

Phone

(813) 421-1634

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Lorenzo, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Lutz, FL
  • NPI 1942679725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1578308367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 ALLEGRA WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596999",
            "telephone_number": "813-421-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SIDE UP THERAPY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "813-421-1634",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lutz, FL
• Providers in Lutz, 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 1, 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.