Active NPI
Rebecca Dorsa, MA, CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1699319087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18472
- Practice address
- 5728 Major Blvd Ste 600
Orlando, FL 32819-7970 - Phone
- (407) 359-5693
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ9387 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA18472 | FL | Primary |
Addresses
Primary practice location
5728 Major Blvd Ste 600
Orlando, FL 32819-7970
Mailing address
304 Lake Ave Apt 235
Maitland, FL 32751-6312
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA18472 | FL | MD | Speech-Language Pathologist |
| SZ9387 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Children's Therapy | Single Specialty | Current | Accepting new patients |
Locations
5728 Major Blvd
Ste 600
Orlando, FL 32819
Phone (407) 280-3776
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1699319087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LAKE AVE APT 235",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327516312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5728 MAJOR BLVD STE 600",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197970",
"telephone_number": "407-359-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSA",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2020-10-26",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9387",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.