NPIMap

Organization Active NPI

Blossom Speech & Language Therapy LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1639767221
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOSSOM SPEECH & LANGUAGE THERAPY LLC
Practice address
8177 Glades Rd Ste 202
Boca Raton, FL 33434-4022
Phone
(561) 270-4433
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Ms. Mallory Lynn Boyd, M.S., CCC-SLPNPI 1316210198
Title
Owner
Phone
(954) 821-9215

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8177 Glades Rd Ste 202
Boca Raton, FL 33434-4022

Mailing address

5469 Helene Cir
Boynton Beach, FL 33472-1241
Phone (954) 821-9215

National Provider Directory

National Provider Directory

Locations

8177 Glades Rd
Ste 202
Boca Raton, FL 33434
Phone (561) 270-4433

Practitioners & affiliated clinicians

Practitioners 10

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": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1639767221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5469 HELENE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334721241",
            "telephone_number": "954-821-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344022",
            "telephone_number": "561-270-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM SPEECH & LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-821-9215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.