Organization Active NPI

Therapy Beat 2.0, LLC

  • Speech-Language Pathologist
  • Brooksville, FL
National Provider Identifier
1962899393
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THERAPY BEAT 2.0, LLC
Practice address
990 Ponce de Leon Blvd
Brooksville, FL 34601-1238
Phone
(352) 796-1616
Fax
(352) 796-1626
NPI assigned
Apr 23, 2015
Organization subpart
Yes
Parent organization
THERAPY BEAT 2.0, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Dr. Penny Bryson, SLP.D
Title
Certified Speech and Language Path
Phone
(352) 796-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X FL Primary

Addresses

Primary practice location

990 Ponce de Leon Blvd
Brooksville, FL 34601-1238

Mailing address

990 Ponce de Leon Blvd
Brooksville, FL 34601-1238
Phone (352) 796-1616

Other identifiers 1

IdentifierTypeStateIssuer
892163600MedicaidFL

National Provider Directory

National Provider Directory
Part of
Therapy Beat 20 LLC

Locations

990 Ponce de Leon Blvd
Brooksville, FL 34601
Phone (352) 796-1616

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": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1962899393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PONCE DE LEON BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011238",
            "telephone_number": "352-796-1616",
            "fax_number": "352-796-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PONCE DE LEON BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011238",
            "telephone_number": "352-796-1616",
            "fax_number": "352-796-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BEAT 2.0, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPY BEAT 2.0, LLC",
        "enumeration_date": "2015-04-23",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CERTIFIED SPEECH AND LANGUAGE PATH",
        "authorized_official_telephone_number": "352-796-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLP.D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892163600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.