SWFL Speech Therapy, Inc. | NPI 1740700558

Key facts

NPI: 1740700558
Entity type: Organization (NPI type 2)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SA6971 (FL)
Legal business name: SWFL SPEECH THERAPY, INC.
Practice address: 14260 Metropolis Ave Ste 103
Fort Myers, FL 33912-4436
Phone: (239) 400-1705
NPI assigned: Jun 22, 2017
Organization subpart: No

Authorized official

Name: Kimberly Beaugez NPI 1962614271
Title: Owner
Phone: (239) 400-1705

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

Corporate family (same tax ID) 1

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

SWFL Speech Therapy, Inc. Speech-Language Pathologist · Fort Myers, FL · NPI 1083284137

NPD tax ID

Practitioners 1

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

Kimberly Beaugez Speech-Language Pathologist · Estero, FL · NPI 1962614271

NPD Authorized official SPEECH-LANGUAGE PATHOLOGIST

National Provider Directory

Tax ID family: SWFL Speech Therapy Inc (2 organizations share this tax ID)

Locations

12641 World Plaza Ln
Fort Myers, FL 33907

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapy Assistant Group: 193200000X MULTI-SPECIALTY GROUP	224Z00000X
Occupational Therapist Group: 193200000X MULTI-SPECIALTY GROUP	225X00000X
Pediatric Occupational Therapist Group: 193200000X MULTI-SPECIALTY GROUP	225XP0200X
Speech-Language Assistant Group: 193200000X MULTI-SPECIALTY GROUP	2355S0801X
Speech-Language Pathologist Group: 193200000X MULTI-SPECIALTY GROUP	235Z00000X	SA6971	FL	Yes
Speech-Language Pathologist Group: 193200000X MULTI-SPECIALTY GROUP	235Z00000X

Addresses

Primary practice location

14260 Metropolis Ave Ste 103
Fort Myers, FL 33912-4436

Mailing address

20516 Ardore LN
Estero, FL 33928-6380
Phone (239) 823-0344

Other practice location 1

9470 Corkscrew Palms Cir Ste 104
Estero, FL 33928-3305
Phone (239) 400-1705

Other names

SWFL Therapy Services Doing business as

Other providers in Fort Myers, FL

All providers in Fort Myers, FL · Speech-Language Pathologist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.