Active NPI
Max Potential Therapy LLC
- Speech-Language Pathologist
- Fleming Island, FL
National Provider Identifier
1972191963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frances Frias
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Fleming Island, FL
- NPI 1407181530
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.