Tequesta D Thomas-Allen, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11628 Issued in FL

Practice address

5230 E Fowler Ave
Temple Terrace, FL 33617-2147

Phone

(813) 374-9414

NPI assigned

Mar 14, 2011

Last updated

Feb 12, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Imari's Therapy Services P.a.

  • Speech-Language Pathologist
  • Temple Terrace, FL
  • NPI 1942631775
  Authorized official Same address or phone

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1841598927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172147",
            "telephone_number": "813-374-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172147",
            "telephone_number": "813-374-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-ALLEN",
        "first_name": "TEQUESTA",
        "middle_name": "D",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003344700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa McArthur Scher LCSW
• Terrace Community Dental, LLC
• Matthew J Teusink, MD
• The New Chain of Investments Inc (NCOI Transportation Inc)
• Willineza Thervil, PHARMD
• Meagan Thomas
• Rylee Thomas
• Austin L Thompson, PA
• Sky Cameron Thompson
• Gina Tice, MPT

• Speech-Language Pathologist in Temple Terrace, FL
• Providers in Temple Terrace, 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 Feb 12, 2014; 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.