Spencer Martin, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17144 Issued in FL

Practice address

32701 Lakeshore Dr
Tavares, FL 32778-5024

Phone

(352) 508-7789

Fax

(352) 855-0459

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Spencer Cast Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Mobility Rehabilitation Inc.Group PAC ID 7911131198, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Mobility Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1154757342
  Medicare reassignment Care Compare group NPD
• FCHR PA

  • Physical Therapist
  • Clermont, FL
  • NPI 1760427975
  Medicare reassignment NPD
• Mobility Home Healthcare Inc

  • Home Health Agency
  • Clermont, FL
  • NPI 1669127981
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1881240133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32701 LAKESHORE DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785024",
            "telephone_number": "352-508-7789",
            "fax_number": "352-855-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32701 LAKESHORE DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785024",
            "telephone_number": "352-508-7789",
            "fax_number": "352-855-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SPENCER",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "17144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SPENCER",
            "last_name": "CAST",
            "credential": "MS,CC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Marino, PTA
• Emma Markey, DNP, PMHNP-BC, FNP-C
• Heather Christina Marsden, CF-SLP
• Anne B Martin
• Shannon Corrigan Martin, ARNP
• Maria Jose Martinez
• Donald Keith Martino, CRNA
• Peter A. Marzek, M.D.
• Borys A Mascarenhas, M.D.
• Mohammad Hadi Masood, MD

• Speech-Language Pathologist in Tavares, FL
• Providers in Tavares, 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 Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.