Individual provider Active NPI

Karly Konig

  • Speech-Language Pathologist
  • Weston, FL
National Provider Identifier
1679930945
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16236 Issued in FL
Practice address
2833 Executive Park Dr Ste 300
Weston, FL 33331-3646
Phone
(954) 353-8777
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 08061 MD
Speech-Language Pathologist 235Z00000X SA16236 FL Primary

Addresses

Primary practice location

2833 Executive Park Dr Ste 300
Weston, FL 33331-3646

Mailing address

816 Hampton CT
Weston, FL 33326-2917
Phone (305) 389-6422

Other practice location 1

4827 Rugby Ave
Suite 100
Bethesda, MD 20814-3034
Phone (301) 657-1130

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
SA16236FLMDSpeech-Language Pathologist
08061MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ms. Courtney'S Therapy LLC Speech-Language Pathologist Past Accepting new patients
The Floortime Center Past Accepting new patients
The Floortime Center Speech-Language Pathologist Past Accepting new patients
Ms. Courtney'S Therapy Services, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 4

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1679930945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 HAMPTON CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262917",
            "telephone_number": "305-389-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 EXECUTIVE PARK DR STE 300",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313646",
            "telephone_number": "954-353-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4827 Rugby Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143034",
            "country_code": "US",
            "telephone_number": "301-657-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONIG",
        "first_name": "KARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08061",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.