NPIMap

Organization Active NPI

Sunny Path Therapy, LLC

  • Speech-Language Pathologist
  • Saint Cloud, FL
National Provider Identifier
1619451085
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNNY PATH THERAPY, LLC
Practice address
3278 Canoe Creek Rd
Saint Cloud, FL 34772-9115
Phone
(321) 837-9737
Fax
(321) 837-9207
NPI assigned
Sep 20, 2018
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Caitlin SmithNPI 1780110940
Title
Owner
Phone
(321) 837-9737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3278 Canoe Creek Rd
Saint Cloud, FL 34772-9115

Mailing address

3278 Canoe Creek Rd
Saint Cloud, FL 34772-9115
Phone (321) 837-9737

Other identifiers 1

IdentifierTypeStateIssuer
101043400MedicaidFL

Other names 1

  • Triple CCC Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

1203 Florida Ave
Saint Cloud, FL 34769
Phone (321) 837-9737

3278 Canoe Creek Rd
Saint Cloud, FL 34772
Phone (321) 837-9737

Practitioners & affiliated clinicians

Practitioners 9

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": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1619451085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347729115",
            "telephone_number": "321-837-9737",
            "fax_number": "321-837-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347729115",
            "telephone_number": "321-837-9737",
            "fax_number": "321-837-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY PATH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-837-9737"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101043400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triple CCC Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.