Individual provider Active NPI

Maria Victoria Ciocca, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Palmetto Bay, FL
National Provider Identifier
1760716930
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9319 Issued in FL
Practice address
7650 SW 138TH St
Palmetto Bay, FL 33158-1251
Phone
(305) 219-2087
NPI assigned
Sep 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 9319 FL Primary

Addresses

Primary practice location

7650 SW 138TH St
Palmetto Bay, FL 33158-1251

Mailing address

7650 SW 138TH St
Palmetto Bay, FL 33158-1251
Phone (305) 219-2087

Other identifiers 1

IdentifierTypeStateIssuer
1760716930MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria@connecttherapyus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 9319FLMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1760716930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 SW 138TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581251",
            "telephone_number": "305-219-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 SW 138TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581251",
            "telephone_number": "305-219-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOCCA",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760716930",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria@connecttherapyus.com",
            "affiliation": "N",
            "address_1": "7650 SW 138th St",
            "city": "Palmetto Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331581251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.