Active NPI
Speech Neuro Abilities LLC
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1710746557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniela Morais, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.