NPIMap

Organization Active NPI

Creative Therapy Solutions LLC

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1811261928
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6347 Issued in FL
Legal business name
CREATIVE THERAPY SOLUTIONS LLC
Practice address
2168 Jog Rd
West Palm Beach, FL 33415-6015
Phone
(561) 641-5757
Fax
(561) 641-7373
NPI assigned
Mar 7, 2012
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Ellen F Mattingly, SLP.D., CCC-SLPNPI 1144464207
Title
Director/Speech Language Pathologis
Phone
(561) 641-5757

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X SA6347 FL Primary

Addresses

Primary practice location

2168 Jog Rd
West Palm Beach, FL 33415-6015

Mailing address

2168 Jog Rd
West Palm Beach, FL 33415-6015
Phone (561) 641-5757

Other identifiers 2

IdentifierTypeStateIssuer
109652000MedicaidFL
001049100MedicaidFL

National Provider Directory

National Provider Directory

Locations

2168 S Jog Rd
Greenacres, FL 33415
Phone (561) 641-5757

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1811261928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 JOG RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334156015",
            "telephone_number": "561-641-5757",
            "fax_number": "561-641-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 JOG RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334156015",
            "telephone_number": "561-641-5757",
            "fax_number": "561-641-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH LANGUAGE PATHOLOGIS",
        "authorized_official_telephone_number": "561-641-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLP.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109652000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001049100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.