NPIMap

Organization Active NPI

Imari'S Therapy Services P.a.

  • Speech-Language Pathologist
  • Temple Terrace, FL
National Provider Identifier
1942631775
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
IMARI'S THERAPY SERVICES P.A.
Practice address
5230 E Fowler Ave
Temple Terrace, FL 33617-2147
Phone
(813) 374-9414
NPI assigned
Dec 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Tequesta D Thomas-Allen, M.S. CCC-SLP
Title
Speech Language Pathologist
Phone
(813) 205-0969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5230 E Fowler Ave
Temple Terrace, FL 33617-2147

Mailing address

5230 E Fowler Ave
Temple Terrace, FL 33617-2147
Phone (813) 374-9414

Other identifiers 1

IdentifierTypeStateIssuer
010239000MedicaidFL

National Provider Directory

National Provider Directory

Locations

5230 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 374-9414

Practitioners & affiliated clinicians

Practitioners 3

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": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1942631775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172147",
            "telephone_number": "813-374-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172147",
            "telephone_number": "813-374-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMARI'S THERAPY SERVICES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS-ALLEN",
        "authorized_official_first_name": "TEQUESTA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "813-205-0969",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010239000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.