Active NPI
Michelle Santorio, M.S CCC-SLP
- Speech-Language Pathologist
- Boca Raton, FL
National Provider Identifier
1669088183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA13593
- Practice address
- 2598 NW 49TH St
Boca Raton, FL 33434-2527 - Phone
- (786) 352-1965
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- 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 | SA13593 | FL | Primary |
Addresses
Primary practice location
2598 NW 49TH St
Boca Raton, FL 33434-2527
Mailing address
2598 NW 49TH St
Boca Raton, FL 33434-2527
Phone (786) 352-1965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA13593 | Other | FL | DEPT OF HEALTH FLORIDA STATE LICENSE NO. |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA13593 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk Theraplay LLC | Single Specialty | Current | Accepting new patients |
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": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1669088183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2598 NW 49TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342527",
"telephone_number": "786-352-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2598 NW 49TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342527",
"telephone_number": "786-352-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORIO",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "M.S CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA13593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH FLORIDA STATE LICENSE NO.",
"identifier": "SA13593",
"state": "FL"
}
],
"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 Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.