Active NPI
Katherine Anderson
- Speech-Language Pathologist
- Jensen Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ11678
- Practice address
- 940 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4704 - Phone
- (772) 334-1227
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ11678 | FL | Primary |
Addresses
Primary practice location
940 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4704
Mailing address
940 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4704
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab SLP FL LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab SLP FL LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508001864 | FL | Practitioner - Qualified Speech Language Pathologist | 0547601551 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Fox Rehab SLP FL LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Center for Speech and Language, T.C,, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Strength and Balance Institute | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
940 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-1227
3882 Central Sarasota Pkwy
Sarasota, FL 34238
Phone (941) 282-7965
8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1912577214
FL, Speech-Language Pathologist
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
FL, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Jensen Beach, FL
- NPI 1083747646
-
- Physical Therapist
- Aventura, FL
- NPI 1164077947
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1780466797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 NE JENSEN BEACH BLVD",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 NE JENSEN BEACH BLVD",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574704",
"telephone_number": "772-334-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ11678",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab SLP FL LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "3882 Central Sarasota Pkwy",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342383046",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab SLP FL LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "8450 Lockwood Ridge Rd",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342432920",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jensen Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.