Individual provider Active NPI

Lisa M Reid, SLP

  • Speech-Language Pathologist
  • Spring Hill, FL
National Provider Identifier
1902036494
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15360 Issued in FL
Practice address
4523 Hoffman Ave
Spring Hill, FL 34606-2057
Phone
(516) 476-4710
NPI assigned
Jul 20, 2009
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019271 NY
Speech-Language Pathologist 235Z00000X SA15360 FL Primary

Addresses

Primary practice location

4523 Hoffman Ave
Spring Hill, FL 34606-2057

Mailing address

4523 Hoffman Ave
Spring Hill, FL 34606-2057
Phone (516) 476-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019271NYMDOccupational Therapist
SA15360FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapies Group Inc Speech-Language Pathologist CurrentSince Oct 21, 2018 Accepting new patients

Locations

2801 SW College Rd
Ste 11
Ocala, FL 34474
Phone (352) 433-0091

14031 Del Webb Blvd
Summerfield, FL 34491
Phone (352) 433-0091

Networks

  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1902036494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 HOFFMAN AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062057",
            "telephone_number": "516-476-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 HOFFMAN AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062057",
            "telephone_number": "516-476-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019271",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.