Sundance Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SUNDANCE THERAPY INC

Practice address

147 Tower St
Lake Placid, FL 33852-6836

Phone

(863) 465-9992

Fax

(863) 465-9906

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Meredith J Ritacco, M.S., CCC-SLP

Title

Ceo

Phone

(863) 414-0211

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1831474923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CHIEFTAIN ST NW",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528858",
            "telephone_number": "863-414-0211",
            "fax_number": "863-465-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 TOWER ST",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338526836",
            "telephone_number": "863-465-9992",
            "fax_number": "863-465-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "RITACCO",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-414-0211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812362400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889870700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "LBE19",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Stockenberg
• Derek Storts
• James A. Strine, MD
• Elaine C. Strong
• Sun 'N Lake Medical Group,PA
• Sunshine Family Dentistry
• Ralph Surace
• Silvia Gonzalez Swaford, PHARM D
• Tampa Bay Emergency Physicians-Heartland LLC
• Meagan Taylor

• All providers in Lake Placid, FL
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.