Organization Active NPI

Sea Islands Therapy Group LLC

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1851977649
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SEA ISLANDS THERAPY GROUP LLC
Practice address
2905 Fruitwood LN
Jacksonville, FL 32277-3614
Phone
(843) 908-9809
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Christina Bryant, M.A. CCC-SLPNPI 1407440589
Title
Owner/Speech Pathologist
Phone
(843) 908-9809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2905 Fruitwood LN
Jacksonville, FL 32277-3614

Mailing address

PO Box 8104
Jacksonville, FL 32239-0104

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1851977649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322390104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 FRUITWOOD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773614",
            "telephone_number": "843-908-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLANDS THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "843-908-9809",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.