Organization Active NPI

Speech Therapy Innovations

  • Speech-Language Pathologist
  • Sanford, FL
National Provider Identifier
1639657216
Registry record updated Aug 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10845 Issued in FL
Legal business name
SPEECH THERAPY INNOVATIONS
Practice address
279 Magnolia Park TRL
Sanford, FL 32773-7215
Phone
(321) 262-9463
NPI assigned
Aug 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2018

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

Authorized official

Name
Dr. Ana M Rivera Rodriguez, PHD CCC-SLP
Title
Owner
Phone
(321) 262-9463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA10845 FL Primary

Addresses

Primary practice location

279 Magnolia Park TRL
Sanford, FL 32773-7215

Mailing address

279 Magnolia Park TRL
Sanford, FL 32773-7215
Phone (321) 262-9463

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.

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533427200000",
    "number": "1639657216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 MAGNOLIA PARK TRL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737215",
            "telephone_number": "321-262-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 MAGNOLIA PARK TRL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737215",
            "telephone_number": "321-262-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA RODRIGUEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-262-9463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; 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.