Individual provider Active NPI

Lisa J. Reyes, M.A., C.C.C.-SLP

  • Speech-Language Pathologist
  • Margate, FL
National Provider Identifier
1801089511
Registry record updated Aug 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8668 Issued in FL
Practice address
5651 NW 29TH St # a
Margate, FL 33063-1531
Phone
(954) 984-2701
NPI assigned
Aug 26, 2007
Last updated
Aug 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2007

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 8668 FL Primary

Addresses

Primary practice location

5651 NW 29TH St # a
Margate, FL 33063-1531

Mailing address

5582 Wellesley Park Dr Apt 302
Boca Raton, FL 33433-6759
Phone (786) 376-2859

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 Arts

State licenses

LicenseStateTypeSpecialty
SA 8668FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Therapy Group, Inc. Speech-Language Pathologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188086400000",
    "number": "1801089511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5582 WELLESLEY PARK DR APT 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336759",
            "telephone_number": "786-376-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 NW 29TH ST # A",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631531",
            "telephone_number": "954-984-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LISA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.A., C.C.C.-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2007-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; 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.