NPIMap

Organization Active NPI

360 Therapy LLC

  • Speech-Language Pathologist
  • Navarre, FL
National Provider Identifier
1588282172
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
360 THERAPY LLC
Practice address
8418 E Bay Blvd
Navarre, FL 32566-6306
Phone
(850) 348-1899
NPI assigned
Jul 9, 2020
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Melissa Blake
Title
Office Administrator
Phone
(850) 348-1899

Specialties & licenses 1

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

Addresses

Primary practice location

8418 E Bay Blvd
Navarre, FL 32566-6306

Mailing address

8418 E Bay Blvd
Navarre, FL 32566-6306
Phone (850) 348-1899

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL m.blake812@gmail.com Direct
CONNECT URL speech@3sixtytherapy.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1588282172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 E BAY BLVD",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666306",
            "telephone_number": "850-348-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 E BAY BLVD",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666306",
            "telephone_number": "850-348-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-348-1899"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "m.blake812@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2104 Aurora Dr",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325665615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "speech@3sixtytherapy.com",
            "affiliation": "N",
            "endpointDescription": "email account",
            "address_1": "8418 E Bay Blvd",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325666306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.