Active NPI
Speech Aesthetics Therapy
- Speech-Language Pathologist
- Davenport, FL
National Provider Identifier
1649035254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH AESTHETICS THERAPY
- Practice address
- 907 Sydney Street
Davenport, FL 33837 - Phone
- (407) 494-5170
- NPI assigned
- Feb 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erika Vargas, MA, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (407) 494-5170
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
907 Sydney Street
Davenport, FL 33837
Mailing address
907 Sydney St
Davenport, FL 33837-2713
Phone (407) 494-5170
Other names 1
- Speech Aesthetics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708128000000",
"number": "1649035254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 SYDNEY ST",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338372713",
"telephone_number": "407-494-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 SYDNEY STREET",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "407-494-5170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH AESTHETICS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A",
"authorized_official_last_name": "VARGAS",
"authorized_official_first_name": "ERIKA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "407-494-5170",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Speech Aesthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.