Active NPI
Cedrick Quickley
- Speech-Language Pathologist
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI3112
- Practice address
- 5407 Killarney Ave
Fort Pierce, FL 34951-5002 - Phone
- (772) 480-3759
- NPI assigned
- Jan 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI3112 | FL | Primary |
Addresses
Primary practice location
5407 Killarney Ave
Fort Pierce, FL 34951-5002
Mailing address
5407 Killarney Ave
Fort Pierce, FL 34951-5002
Phone (772) 480-3759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 Winding Rock Rd
Simpsonville, SC 29680-2486
PO Box
Suite 470724
Broadview Heights, OH 44147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI3112 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ap Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
5501 E Michigan St
Orlando, FL 32822
Phone (407) 277-7225
Organizations & group practices 2
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.
-
- Physical Therapist
- Englewood Cliffs, NJ
- NPI 1699552646
FL, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1629514419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 KILLARNEY AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349515002",
"telephone_number": "772-480-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5407 KILLARNEY AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349515002",
"telephone_number": "772-480-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICKLEY",
"first_name": "CEDRICK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SI3112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.