Organization Active NPI

Speech Rehabilitation Services

  • Developmental Disabilities Clinic/Center
  • Plant City, FL
National Provider Identifier
1669833182
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
SA7606 Issued in FL
Legal business name
SPEECH REHABILITATION SERVICES
Practice address
1528 Avondale Ridge Dr
Plant City, FL 33567-3682
Phone
(813) 431-7064
Fax
(813) 704-5341
NPI assigned
Mar 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. Tandria Milagno Callins, PH.D., CCC-SLP
Title
Owner
Phone
(813) 431-7064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X SA7606 FL Primary

Addresses

Primary practice location

1528 Avondale Ridge Dr
Plant City, FL 33567-3682

Mailing address

1528 Avondale Ridge Dr
Plant City, FL 33567-3682
Phone (813) 431-7064

Other names 1

  • All Lives Matter Specialty Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Lives Matter Specialty Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1669833182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 AVONDALE RIDGE DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673682",
            "telephone_number": "813-431-7064",
            "fax_number": "813-704-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 AVONDALE RIDGE DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673682",
            "telephone_number": "813-431-7064",
            "fax_number": "813-704-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "CALLINS",
        "authorized_official_first_name": "TANDRIA",
        "authorized_official_middle_name": "MILAGNO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-431-7064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "SA7606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Lives Matter Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.