Individual provider Active NPI

Sarah Smith Letsky, MACCC-SLP

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1669096178
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2723 Issued in MA
Practice address
13214 Sorrento Way
Bradenton, FL 34211-2175
Phone
(978) 886-1174
NPI assigned
May 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2723 MA Primary

Addresses

Primary practice location

13214 Sorrento Way
Bradenton, FL 34211-2175

Mailing address

13214 Sorrento Way
Bradenton, FL 34211-2175
Phone (978) 886-1174

Other practice location 1

124 Championship Way
Wells, ME 04090-7386
Phone (978) 886-1174

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2723MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1669096178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13214 SORRENTO WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112175",
            "telephone_number": "978-886-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13214 SORRENTO WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112175",
            "telephone_number": "978-886-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Championship Way",
            "address_purpose": "LOCATION",
            "city": "Wells",
            "state": "ME",
            "postal_code": "040907386",
            "country_code": "US",
            "telephone_number": "978-886-1174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETSKY",
        "first_name": "SARAH",
        "middle_name": "SMITH",
        "credential": "MACCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.