Individual provider Active NPI

Sara Avery Milotta, SA9727

  • Speech-Language Pathologist
  • Crystal River, FL
National Provider Identifier
1578894481
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9727 Issued in FL
Practice address
255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4891
Phone
(352) 795-4114
Fax
(352) 563-2438
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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 SA9727 FL Primary

Addresses

Primary practice location

255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4891

Mailing address

255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4891
Phone (352) 795-4114

Other identifiers 1

IdentifierTypeStateIssuer
SA9727OtherFLSPEECH PATHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516002618 FL Practitioner - Qualified Speech Language Pathologist 0446778005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
QRM Plus Florida SLP LLC Speech-Language Pathologist CurrentSince Apr 1, 2025 Accepting new patients
Central Florida Clinic for Rehabilitation Speech-Language Pathologist Past Accepting new patients
Nosky P.a. Past Accepting new patients

Locations

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

Organizations & group practices 3

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": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1578894481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "address_2": "SUITE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294891",
            "telephone_number": "352-795-4114",
            "fax_number": "352-563-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "address_2": "SUITE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294891",
            "telephone_number": "352-795-4114",
            "fax_number": "352-563-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOTTA",
        "first_name": "SARA",
        "middle_name": "AVERY",
        "credential": "SA9727",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST",
            "identifier": "SA9727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.