Organization Active NPI

Speech Neuro Abilities LLC

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1710746557
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH NEURO ABILITIES LLC
Practice address
17313 Reserva Dr
Bradenton, FL 34211-2783
Phone
(909) 921-8131
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Daniela Morais, CCC-SLPNPI 1609153600
Title
Speech Language Pathologist/LLC
Phone
(909) 921-8131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

17313 Reserva Dr
Bradenton, FL 34211-2783

Mailing address

17313 Reserva Dr
Bradenton, FL 34211-2783
Phone (909) 921-8131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726002330 FL Part B Supplier - Clinic/Group Practice 1658817598 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1710746557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17313 RESERVA DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112783",
            "telephone_number": "909-921-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17313 RESERVA DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112783",
            "telephone_number": "909-921-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH NEURO ABILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "MORAIS",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/LLC",
        "authorized_official_telephone_number": "909-921-8131",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.