Individual provider Active NPI

Abigail Lynn Casaccia, M.A. SLP-CF

  • Speech-Language Pathologist
  • Clearwater, FL
National Provider Identifier
1669140737
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10295 Issued in FL
Practice address
2753 State Road 580 Ste 111
Clearwater, FL 33761-3351
Phone
(727) 724-5437
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ10295 FL Primary

Addresses

Primary practice location

2753 State Road 580 Ste 111
Clearwater, FL 33761-3351

Mailing address

310 S Habana Ave Apt 6
Tampa, FL 33609-3585
Phone (901) 340-1254

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SZ10295FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Works, Inc. CurrentSince Sep 5, 2021 Accepting new patients

Locations

2753 State Road 580
Ste 111
Clearwater, FL 33761
Phone (727) 724-5437

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1669140737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HABANA AVE APT 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093585",
            "telephone_number": "901-340-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 STATE ROAD 580 STE 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613351",
            "telephone_number": "727-724-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACCIA",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "M.A. SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.