Individual provider Active NPI

Katherine Manrique, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Palm Harbor, FL
National Provider Identifier
1770127227
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17564 Issued in FL
Practice address
2595 Tampa Rd Ste Q
Palm Harbor, FL 34684-3132
Phone
(727) 431-0286
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 SA17564 FL Primary

Addresses

Primary practice location

2595 Tampa Rd Ste Q
Palm Harbor, FL 34684-3132

Mailing address

510 Hickorynut Ave
Oldsmar, FL 34677-2019
Phone (727) 804-4836

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
SA17564FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies Plus, LLC Speech-Language Pathologist CurrentSince Jan 19, 2020 Accepting new patients

Locations

2595 Tampa Rd
Ste Q
Palm Harbor, FL 34684
Phone (727) 252-3179

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1770127227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HICKORYNUT AVE",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772019",
            "telephone_number": "727-804-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE Q",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843132",
            "telephone_number": "727-431-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "KATHERINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.