Organization Active NPI

Eclipse Speech Therapy

  • Speech-Language Pathologist
  • Sunrise, FL
National Provider Identifier
1780428011
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ECLIPSE SPEECH THERAPY
Practice address
5801 NW 13TH St
Sunrise, FL 33313-6208
Phone
(954) 646-0394
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Ms. Alexandra Saa, M.S, CCC-SLPNPI 1356971808
Title
Speech Language Pathologist
Phone
(954) 646-0394

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

5801 NW 13TH St
Sunrise, FL 33313-6208

Mailing address

5801 NW 13TH St
Sunrise, FL 33313-6208
Phone (954) 646-0394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029000048 FL Part B Supplier - Clinic/Group Practice 9234662339 Receives reassigned benefits from 1 practitioner
Practice locations: Sunrise, FL

National Provider Directory

National Provider Directory

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1780428011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 13TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136208",
            "telephone_number": "954-646-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 13TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136208",
            "telephone_number": "954-646-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SAA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "954-646-0394",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S, 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 Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.