Organization Active NPI

Aspire Rehab Inc

  • Speech-Language Pathologist
  • Vero Beach, FL
National Provider Identifier
1801137674
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12097 Issued in FL
Legal business name
ASPIRE REHAB INC
Practice address
1485 37TH St Ste 111
Vero Beach, FL 32960-6518
Phone
(772) 257-6962
Fax
(772) 365-0499
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Mrs. Jacqueline Melissa Sumner Davis, MA, CCC-SLP
Title
Owner
Phone
(772) 257-6962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA12097 FL Primary
Rehabilitation Clinic/Center 261QR0400X SA12097 FL

Addresses

Primary practice location

1485 37TH St Ste 111
Vero Beach, FL 32960-6518

Mailing address

326 15TH Ave
Vero Beach, FL 32962-2749
Phone (772) 257-6962

National Provider Directory

National Provider Directory

Locations

1485 37th St
Ste 111
Vero Beach, FL 32960
Phone (772) 226-6855

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1801137674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 15TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622749",
            "telephone_number": "772-257-6962",
            "fax_number": "772-365-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 37TH ST STE 111",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606518",
            "telephone_number": "772-257-6962",
            "fax_number": "772-365-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MELISSA SUMNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-257-6962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12097",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "SA12097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

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