Active NPI
Pediatric Therapy Services Tallahassee
- Speech-Language Pathologist
- Tallahassee, FL
National Provider Identifier
1760071617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendall Norman, MS, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Tallahassee, FL
- NPI 1235643586
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
- Debra Pedersen, ARNP
- Pediatria Healthcare, LLC
- Pediatria Healthcare, LLC (Aveanna Healthcare)
- Pediatria Healthcare, LLC
- Pediatric ABA 3 Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
- Bruce Allen Pedigo, LCSW, LMFT, ED.D
- Brianna Peek, LCSW
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.