NPIMap

Organization Active NPI

Wee Playtherapy PLLC

  • Speech-Language Pathologist
  • Lehigh Acres, FL
National Provider Identifier
1851647770
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10357 Issued in FL
Legal business name
WEE PLAYTHERAPY PLLC
Practice address
904 Lee Blvd
Unit 106
Lehigh Acres, FL 33936-4953
Phone
(239) 674-9374
Fax
(239) 790-1335
NPI assigned
Jul 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Ms. Susie Ann Hammersley, CCC- SLP
Title
Owner
Phone
(239) 674-9374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA10357 FL Primary

Addresses

Primary practice location

904 Lee Blvd
Unit 106
Lehigh Acres, FL 33936-4953

Mailing address

904 Lee Blvd
Ste. 106
Lehigh Acres, FL 33936-4953
Phone (239) 674-9374

Other identifiers 3

IdentifierTypeStateIssuer
002444400MedicaidFL
006236000MedicaidFL
002444100MedicaidFL

National Provider Directory

National Provider Directory

Locations

904 Lee Blvd
Ste 106
Lehigh Acres, FL 33936
Phone (239) 674-9374

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1851647770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LEE BLVD",
            "address_2": "STE. 106",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364953",
            "telephone_number": "239-674-9374",
            "fax_number": "239-491-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 LEE BLVD",
            "address_2": "UNIT 106",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364953",
            "telephone_number": "239-674-9374",
            "fax_number": "239-790-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEE PLAYTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-29",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "HAMMERSLEY",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-674-9374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC- SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002444400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006236000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002444100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.