Active NPI
Ann-Marie Alice Elia, MA, CCC-SLP
- Speech-Language Pathologist
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14390
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobalt Therapy, LLC | Speech-Language Pathologist | Current | 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.