Active NPI
Imagine Pediatric Therapy of Brevard, LLC
- Speech-Language Pathologist
- Indialantic, FL
National Provider Identifier
1942857511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- IMAGINE PEDIATRIC THERAPY OF BREVARD, LLC
- Practice address
- 600 N Sonora Cir
Indialantic, FL 32903-3735 - Phone
- (321) 223-8791
- NPI assigned
- Aug 19, 2019
- Last updated
- Aug 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yelba Mercedes Delgado, MS. CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (321) 223-8791
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
600 N Sonora Cir
Indialantic, FL 32903-3735
Mailing address
600 N Sonora Cir
Indialantic, FL 32903-3735
Phone (321) 223-8791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104044500 | Medicaid | FL | |
| 110199500 | Medicaid | FL |
Other names 1
- Imagine Pediatric Therapy, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Indialantic, FL
- NPI 1932458403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754006400000",
"number": "1942857511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N SONORA CIR",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033735",
"telephone_number": "321-223-8791",
"fax_number": "321-373-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N SONORA CIR",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033735",
"telephone_number": "321-223-8791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGINE PEDIATRIC THERAPY OF BREVARD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-19",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A",
"authorized_official_last_name": "DELGADO",
"authorized_official_first_name": "YELBA",
"authorized_official_middle_name": "MERCEDES",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "321-223-8791",
"authorized_official_credential": "MS. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104044500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110199500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Imagine Pediatric Therapy, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Indialantic, FL
- Holiday CVS LLC (CVS Pharmacy 03151)
- Paula Relyea Holsinger, LMT
- Rebecca Price Hunton, M.D.
- Page Moorefield Hyler
- Pauline R Hyvonen, MD
- In2 Health, Inc.
- Indialantic Chiropractic & Acupuncture Inc
- Indialantic Dental PA
- Indialantic Medical Associates, LLC
- Indialantic Psychiatry & Counseling Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.