Organization Active NPI

Gorham Therapy Services

  • Speech-Language Pathologist
  • Valrico, FL
National Provider Identifier
1588019160
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ6914 Issued in FL
Legal business name
GORHAM THERAPY SERVICES
Practice address
3433 Lithia Pinecrest Rd Ste 135
Valrico, FL 33596-6302
Phone
(813) 391-8398
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Tennille JoplinNPI 1619065877
Title
Administrator
Phone
(813) 391-8398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ6914 FL Primary

Addresses

Primary practice location

3433 Lithia Pinecrest Rd Ste 135
Valrico, FL 33596-6302

Mailing address

3433 Lithia Pinecrest Rd Ste 135
Valrico, FL 33596-6302
Phone (813) 391-8398

Other identifiers 1

IdentifierTypeStateIssuer
SZ6914OtherFLLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Gorham Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1588019160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD STE 135",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302",
            "telephone_number": "813-391-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD STE 135",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302",
            "telephone_number": "813-391-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORHAM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "JOPLIN",
        "authorized_official_first_name": "TENNILLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-391-8398"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SZ6914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.