Individual provider Active NPI

Ann-Marie Alice Elia, MA, CCC-SLP

  • Speech-Language Pathologist
  • Lady Lake, FL
National Provider Identifier
1831436203
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14390 Issued in FL
Practice address
510 County Rd 466
Suite 203-L
Lady Lake, FL 32159-4202
Phone
(352) 508-7789
Fax
(352) 855-0459
NPI assigned
Jan 5, 2013
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 SA14390 FL Primary

Addresses

Primary practice location

510 County Rd 466
Suite 203-L
Lady Lake, FL 32159-4202

Mailing address

203 E Greentree LN
Lake Mary, FL 32746-4006
Phone (352) 818-7368

Other practice location 1

1599 Tropical Ct
Tavares, FL 32778-4323
Phone (352) 508-7789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200329000256 FL Practitioner - Qualified Speech Language Pathologist 5395174239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cobalt Therapy, LLCGroup PAC ID 9830528777, 3 clinicians

Practice addresses (Care Compare)

510 Country Rd 466
20 Sabal Executive Suites
Lady Lake, FL 32159-4202
Phone (352) 508-7789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cobalt Therapy, LLC Speech-Language Pathologist CurrentSince Mar 11, 2020 Accepting new patients

Locations

1303 Limit Ave
Ste 201
Mount Dora, FL 32757
Phone (352) 508-7789

Networks

  • Optimum HealthCare HMO Network

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": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1831436203",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 COUNTY RD 466",
            "address_2": "SUITE 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",
            "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": {
        "last_name": "ELIA",
        "first_name": "ANN-MARIE",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.