Active NPI
Emily Weitekamp
- Speech-Language Pathologist
- Mount Dora, FL
National Provider Identifier
1861208258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1303 Limit Ave Ste 201
Mount Dora, FL 32757-3135 - Phone
- (217) 502-1759
- NPI assigned
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1303 Limit Ave Ste 201
Mount Dora, FL 32757-3135
Mailing address
1303 Limit Ave Ste 201
Mount Dora, FL 32757-3135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobalt Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1303 Limit Ave
Ste 201
Mount Dora, FL 32757
Phone (352) 508-7789
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734134400000",
"number": "1861208258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 LIMIT AVE STE 201",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327573135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 LIMIT AVE STE 201",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327573135",
"telephone_number": "217-502-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITEKAMP",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.