Organization Active NPI

Pediatric Therapy Services Tallahassee

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1760071617
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC THERAPY SERVICES TALLAHASSEE
Practice address
2940 E Park Ave # 2F
Tallahassee, FL 32301-3446
Phone
(850) 800-7752
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Kendall Norman, MS, CCC-SLPNPI 1235643586
Title
Speech-Language Pathologist
Phone
(850) 800-7752

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: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2940 E Park Ave # 2F
Tallahassee, FL 32301-3446

Mailing address

1004 Huron TRL
Tallahassee, FL 32317-9415
Phone (850) 800-7752

Other practice location 1

1004 Huron Trl
Tallahassee, FL 32317-9415
Phone (850) 800-7752

National Provider Directory

National Provider Directory

Locations

2940 E Park Ave
#2F
Tallahassee, FL 32301
Phone (850) 800-7752

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": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1760071617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HURON TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179415",
            "telephone_number": "850-800-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E PARK AVE # 2F",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013446",
            "telephone_number": "850-800-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Huron Trl",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323179415",
            "country_code": "US",
            "telephone_number": "850-800-7752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES TALLAHASSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "850-800-7752",
        "authorized_official_credential": "MS, 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 Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.