Organization Active NPI

GDG Bilingual Therapy Group, LLC

  • Speech-Language Pathologist
  • Davenport, FL
National Provider Identifier
1881913739
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6430 Issued in FL
Legal business name
GDG BILINGUAL THERAPY GROUP, LLC
Practice address
604 Montana Ave
Davenport, FL 33897-5641
Phone
(407) 922-6656
Fax
(863) 438-5271
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Mr. Gerson GuzmanNPI 1649347949
Title
Owner
Phone
(407) 922-6656

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 SA6430 FL Primary

Addresses

Primary practice location

604 Montana Ave
Davenport, FL 33897-5641

Mailing address

604 Montana Ave
Davenport, FL 33897-5641
Phone (407) 922-6656

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": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1881913739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MONTANA AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338975641",
            "telephone_number": "407-922-6656",
            "fax_number": "863-438-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MONTANA AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338975641",
            "telephone_number": "407-922-6656",
            "fax_number": "863-438-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDG BILINGUAL THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "GERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-922-6656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.