NPIMap

Organization Active NPI

J C Acosta Therapy Corp

  • Early Intervention Provider Agency
  • Parkland, FL
National Provider Identifier
1619263845
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SI 1333 Issued in FL
Legal business name
J C ACOSTA THERAPY CORP
Practice address
5851 Holmberg Rd
Apt 1124
Parkland, FL 33067-4536
Phone
(954) 907-4077
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Mrs. Jenny Constanza Acosta, SI 1333NPI 1124232244
Title
Speech Language Pathology Assistant
Phone
(954) 907-4077

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
Early Intervention Provider Agency 252Y00000X SI 1333 FL Primary

Addresses

Primary practice location

5851 Holmberg Rd
Apt 1124
Parkland, FL 33067-4536

Mailing address

5851 Holmberg Rd
Apt 1124
Parkland, FL 33067-4536
Phone (954) 907-4077

National Provider Directory

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": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1619263845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD",
            "address_2": "APT 1124",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674536",
            "telephone_number": "954-907-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD",
            "address_2": "APT 1124",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674536",
            "telephone_number": "954-907-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C ACOSTA THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "CONSTANZA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGY ASSISTANT",
        "authorized_official_telephone_number": "954-907-4077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SI 1333"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SI 1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.