Organization Active NPI

Growing Up Therapy

  • Speech-Language Pathologist
  • Davenport, FL
National Provider Identifier
1760032353
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GROWING UP THERAPY
Practice address
206 Nova Dr
Davenport, FL 33837-2639
Phone
(407) 624-2509
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Tamara Michelle Ortiz, SLP, MS,CCCNPI 1013438373
Title
Propietor
Phone
(407) 624-2509

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

206 Nova Dr
Davenport, FL 33837-2639

Mailing address

206 Nova Dr
Davenport, FL 33837-2639
Phone (407) 624-2509

National Provider Directory

National Provider Directory

Locations

101 S Dixie Dr
Haines City, FL 33844
Phone (863) 216-6595

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": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1760032353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NOVA DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372639",
            "telephone_number": "407-624-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NOVA DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372639",
            "telephone_number": "407-624-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING UP THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROPIETOR",
        "authorized_official_telephone_number": "407-624-2509",
        "authorized_official_credential": "SLP, MS,CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.