Cobalt Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COBALT THERAPY, LLC

Practice address

510 Co Rd 466
Suite 204-E and 203-L
Lady Lake, FL 32159-4202

Phone

(352) 508-7789

Fax

(352) 855-0459

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Ann-Marie Alice Elia, MA, CCC-SLPNPI 1831436203

Title

Owner/SLP

Phone

(352) 508-7789

Specialties & licenses 1

Addresses

Other names 1

• Cobalt Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann-Marie Alice Elia, MA, CCC-SLP

  • Speech-Language Pathologist
  • Lady Lake, FL
  • NPI 1831436203
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Gwyn, SLP

  • Speech-Language Pathologist
  • Wildwood, FL
  • NPI 1538789250
  Medicare reassignment Care Compare group NPD
• Michelle Siller, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Howey in the Hills, FL
  • NPI 1205284361
  Medicare reassignment Care Compare group NPD
• Emily Weitekamp

  • Speech-Language Pathologist
  • Mount Dora, FL
  • NPI 1861208258
  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1821623737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E GREENTREE LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464006",
            "telephone_number": "352-818-7368",
            "fax_number": "352-855-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CO RD 466",
            "address_2": "SUITE 204-E AND 203-L",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594202",
            "telephone_number": "352-508-7789",
            "fax_number": "352-855-0459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1599 Tropical Ct Ste 4",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784323",
            "country_code": "US",
            "telephone_number": "352-508-7789",
            "fax_number": "352-855-0459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COBALT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "ELIA",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "352-508-7789",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobalt Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cobalt Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.

Verify at the official NPI Registry.