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

Last updated

Mar 29, 2016By the provider in NPPES

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-SLPNPI 1831238047

Title

Ceo

Phone

(863) 414-0211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meredith Jeannette Ritacco, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lake Placid, FL
  • NPI 1831238047
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lake Placid, FL
• Providers in Lake Placid, 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 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.