Marisol Thornberry, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA20456

Practice address

3500 E Fletcher Ave Ste 208
Tampa, FL 33613-4795

Phone

(813) 252-6334

Fax

(813) 252-9129

NPI assigned

Jul 7, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brenda Curtwright and Associates PLLC

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1457896888
  Medicare reassignment NPD
• Florida Neurovascular Institute

  • Neurology Physician
  • Tampa, FL
  • NPI 1629140710
  NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1831822717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE STE 208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134795",
            "telephone_number": "813-252-6334",
            "fax_number": "813-252-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE STE 208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134795",
            "telephone_number": "813-252-6334",
            "fax_number": "813-252-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "MARISOL",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "SA20456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Chase Thompson, M.D.
• Thompsons Home Health Care LLC (Thompsons Home Health Care)
• Tina Marie Thomson, M.D.
• Taylor Thomssen
• Hannah Marie Thorfinnson, PHARMD
• Hannah Marwede Thornburg, MD
• Anne Carolyn Thorne-Picard, APRN
• Tyler Paul Thorne, DO
• Amanda Irene Thorngren, MSN, FNP
• Erin Thornton, AAC

• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, 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 Jul 7, 2022; 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.