Organization Active NPI

Corrective Speech and Language Therapy, Inc.

  • Early Intervention Provider Agency
  • Orlando, FL
National Provider Identifier
1972259604
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CORRECTIVE SPEECH AND LANGUAGE THERAPY, INC.
Practice address
14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106
Phone
(407) 857-6285
Fax
(407) 857-9566
NPI assigned
Feb 22, 2022
Organization subpart
Yes
Parent organization
CORRECTIVE SPEECH AND LANGUAGE THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Rachel Lee Shockley, MA, CCC-SLP, CASNPI 1891703930
Title
Owner/Speech Language Pathologist
Phone
(407) 857-6285

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106

Mailing address

14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106
Phone (407) 857-6285

Other identifiers 1

IdentifierTypeStateIssuer
812053600MedicaidFL

Other names 1

  • Beyond Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@centralfltherapy.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Corrective Speech and Language Therapy Inc2 organizations share this tax ID, including this one
Part of
Corrective Speech and Language Therapy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14055 Town Loop Blvd
Ste 300
Orlando, FL 32837
Phone (407) 857-6285

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1972259604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 TOWN LOOP BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376106",
            "telephone_number": "407-857-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 TOWN LOOP BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376106",
            "telephone_number": "407-857-6285",
            "fax_number": "407-857-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE SPEECH AND LANGUAGE THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRECTIVE SPEECH AND LANGUAGE THERAPY, INC.",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "407-857-6285",
        "authorized_official_credential": "MA, CCC-SLP, CAS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812053600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@centralfltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14055 Town Loop Blvd Ste 300",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328376106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beyond Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.