Organization Active NPI

Max Potential Therapy LLC

  • Speech-Language Pathologist
  • Fleming Island, FL
National Provider Identifier
1972191963
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MAX POTENTIAL THERAPY LLC
Practice address
5000 US Highway 17 Ste 18-292
Fleming Island, FL 32003-8231
Phone
(904) 201-2505
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Frances FriasNPI 1407181530
Title
Speech Language Pathologist
Phone
(904) 201-2505

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5000 US Highway 17 Ste 18-292
Fleming Island, FL 32003-8231

Mailing address

1849 Cross Green Way
Fleming Island, FL 32003-4961
Phone (813) 504-3991

National Provider Directory

National Provider Directory

Locations

5000 US Highway 17
Ste 18292
Fleming Island, FL 32003
Phone (904) 201-2505

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1972191963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 CROSS GREEN WAY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034961",
            "telephone_number": "813-504-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 17 STE 18-292",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038231",
            "telephone_number": "904-201-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX POTENTIAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "FRIAS",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-201-2505"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.