Individual provider Active NPI

Simone Michelle Piteo, SLP.D.

  • Speech-Language Pathologist
  • Weston, FL
National Provider Identifier
1760795520
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 5834 Issued in FL
Practice address
2900 S Commerce Pkwy
Weston, FL 33331-3622
Phone
(954) 385-6277
Fax
(954) 385-6287
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 5834 FL Primary
Speech-Language Pathologist 235Z00000X SA5834 FL

Addresses

Primary practice location

2900 S Commerce Pkwy
Weston, FL 33331-3622

Mailing address

3144 Siena Cir
Wellington, FL 33414-4398
Phone (954) 684-3209

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 5834FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1760795520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 SIENA CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144398",
            "telephone_number": "954-684-3209",
            "fax_number": "954-385-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S COMMERCE PKWY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313622",
            "telephone_number": "954-385-6277",
            "fax_number": "954-385-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITEO",
        "first_name": "SIMONE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "SLP.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5834",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.