Organization Active NPI

Manatee Therapy Center LLC

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1720758741
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MANATEE THERAPY CENTER LLC
Practice address
6040 53Rd Avenue East, Suite 6060a
Bradenton, FL 34203
Phone
(941) 251-3173
Fax
(877) 200-1958
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Rocio Rada
Title
Owner
Phone
(941) 716-9951

Specialties & licenses 1

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

Addresses

Primary practice location

6040 53Rd Avenue East, Suite 6060a
Bradenton, FL 34203

Mailing address

6040 53Rd Avenue East, Suite 6060a
Bradenton, FL 34203-1253
Phone (941) 251-3173

Other names 1

  • Manatee Therapy Center LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Manatee Therapy Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1720758741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 53RD AVENUE EAST, SUITE 6060A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342031253",
            "telephone_number": "941-251-3173",
            "fax_number": "877-200-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 53RD AVENUE EAST, SUITE 6060A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34203",
            "telephone_number": "941-251-3173",
            "fax_number": "877-200-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "RADA",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-716-9951"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Therapy Center LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Manatee Therapy Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 19, 2023; 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.