NPIMap

Organization Active NPI

Personal SLP, LLC

  • Speech-Language Pathologist
  • Greenacres, FL
National Provider Identifier
1730736489
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PERSONAL SLP, LLC
Practice address
111 Two Pine Dr
Greenacres, FL 33413-2500
Phone
(561) 324-3338
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Joanne Rodriguez Shank, SLPNPI 1134409477
Title
Owner
Phone
(561) 324-3338

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

111 Two Pine Dr
Greenacres, FL 33413-2500

Mailing address

111 Two Pine Dr
Greenacres, FL 33413-2500
Phone (561) 324-3338

Other names 1

  • Personal SLP, LLC Doing business as

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": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1730736489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TWO PINE DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132500",
            "telephone_number": "561-324-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TWO PINE DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132500",
            "telephone_number": "561-324-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-324-3338",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal SLP, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.