Individual provider Active NPI

Brenda Martinez, MS

  • Speech-Language Pathologist
  • Doral, FL
National Provider Identifier
1821572421
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20658 Issued in FL
Practice address
10200 NW 25TH St # a-108
Doral, FL 33172-5921
Phone
(786) 717-5649
NPI assigned
Sep 19, 2018
Reactivated
Oct 28, 2021
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ10367 FL
Speech-Language Pathologist 235Z00000X SA20658 FL Primary

Addresses

Primary practice location

10200 NW 25TH St # a-108
Doral, FL 33172-5921

Mailing address

3649 SW 153Rd PL
Miami, FL 33185-4712
Phone (786) 266-2028

Other practice location 1

10700 Caribbean Blvd Ste 106
Cutler Bay, FL 33189-1224
Phone (305) 707-1555

Other practice location 2

12966 SW 89th Ave
Miami, FL 33176-5850
Phone (786) 554-8920

Other practice location 3

1140 W 50th St
Hialeah, FL 33012-3440
Phone (305) 231-3371

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 Science

State licenses

LicenseStateTypeSpecialty
SA20658FLMDSpeech-Language Pathologist
SZ10367FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Speech Therapy CurrentSince Aug 14, 2022 Accepting new patients
Exceptional Speech Therapy Speech-Language Pathologist CurrentSince Aug 14, 2022 Accepting new patients
University of Miami Past Accepting new patients
Little Rising Talkers, LLC Speech-Language Pathologist PastSince Oct 31, 2021 Accepting new patients
Beyond Therapy Behavioral PastSince Feb 21, 2021 Accepting new patients
Beyond Therapy Team LLC Speech-Language Pathologist PastSince Jan 31, 2021 Accepting new patients

Locations

10200 NW 25th St
Ste 108A
Doral, FL 33172
Phone (786) 717-5649

Organizations & group practices 6

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1821572421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 SW 153RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854712",
            "telephone_number": "786-266-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST # A-108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-717-5649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Caribbean Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331891224",
            "country_code": "US",
            "telephone_number": "305-707-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12966 SW 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331765850",
            "country_code": "US",
            "telephone_number": "786-554-8920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 W 50th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123440",
            "country_code": "US",
            "telephone_number": "305-231-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "BRENDA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "deactivation_date": "2021-05-14",
        "reactivation_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10367",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.