North Florida Therapy Associates, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NORTH FLORIDA THERAPY ASSOCIATES, LLC

Practice address

784 Blanding Blvd Ste 108
Orange Park, FL 32065-7724

Phone

(904) 264-2636

Fax

(904) 517-1621

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Gillmer, MS, CCC-SLP

Title

Speech Language Pathologist

Phone

(904) 910-2296

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

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

• Mary Catherine Swanson, CCC-SLP

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1679584106
  Medicare reassignment NPD
• Ashley Marie Brannon, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1497901599
  NPD
• Amanda Danielle Bertsch, CCC-SLP

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1487123980
  NPD (past)
• Lauren Hall, M.S.

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1801284476
  NPD (past)
• Kimberly E Kennell, MS, CCC-SLP

  • Speech-Language Pathologist
  • Ponte Vedra, FL
  • NPI 1477817252
  NPD (past)
• Nicole Schneider Riley, SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1033120563
  NPD (past)
• Catherine B Speak, D.P.T.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1851789457
  NPD (past)
• Bethany Zamarron

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1952028862
  NPD (past)
• Alexandra M Salas, MOT, OTR/L

  • Occupational Therapist
  • North Chesterfield, VA
  • NPI 1295239663
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1891947537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657724",
            "telephone_number": "904-264-2636",
            "fax_number": "904-517-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657724",
            "telephone_number": "904-264-2636",
            "fax_number": "904-517-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12025 San Jose Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322231639",
            "country_code": "US",
            "telephone_number": "904-880-1444",
            "fax_number": "904-517-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH FLORIDA THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "GILLMER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-910-2296",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9446",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8670",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Orange Park, FL
• Providers in Orange Park, 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 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.