Individual provider Active NPI

Anita McCurry, SLP

  • Speech-Language Pathologist
  • Port St Lucie, FL
National Provider Identifier
1619607256
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10662 Issued in FL
Practice address
1483 SW Bougainvillea Ave
Port St Lucie, FL 34953-7302
Phone
(772) 336-6928
Fax
(772) 336-6929
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 SZ10662 FL Primary

Addresses

Primary practice location

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953-7302

Mailing address

4801 SW Hammock Creek Dr
Palm City, FL 34990-7934
Phone (772) 353-9809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ10662FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Speech Therapy Services, Inc. Speech-Language Pathologist CurrentSince Apr 28, 2024 Accepting new patients

Locations

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953
Phone (772) 336-6928

Organizations & group practices 1

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1619607256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SW HAMMOCK CREEK DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349907934",
            "telephone_number": "772-353-9809",
            "fax_number": "772-336-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "772-336-6928",
            "fax_number": "772-336-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURRY",
        "first_name": "ANITA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.