Individual provider Active NPI

Tonya L Worner, SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1710124052
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14629 Issued in FL
Practice address
207 W Gore St Ste 302
Orlando, FL 32806-1014
Phone
(407) 839-8407
Fax
(407) 839-8446
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 SLP-0774 WV
Speech-Language Pathologist 235Z00000X SA14629 FL Primary

Addresses

Primary practice location

207 W Gore St Ste 302
Orlando, FL 32806-1014

Mailing address

207 W Gore St Ste 302
Orlando, FL 32806-1014
Phone (407) 839-8407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330002030 FL Practitioner - Qualified Speech Language Pathologist 2860547726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-0774WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Physical Therapy, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1710124052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W GORE ST STE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061014",
            "telephone_number": "407-839-8407",
            "fax_number": "407-839-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GORE ST STE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061014",
            "telephone_number": "407-839-8407",
            "fax_number": "407-839-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORNER",
        "first_name": "TONYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0774",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14629",
            "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 Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.