NPIMap

Organization Active NPI

Advance Speech Therapy Services, Inc.

  • Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1972721439
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANCE SPEECH THERAPY SERVICES, INC.
Practice address
1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302
Phone
(772) 336-6928
Fax
(772) 336-6929
NPI assigned
Apr 23, 2007
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mrs. Tiffany Marie Luque, M.S. CCC-SLPNPI 1215114483
Title
Speech-Language Pathologist/Pres.
Phone
(772) 336-6928

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302

Mailing address

1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302
Phone (772) 336-6928

Other identifiers 1

IdentifierTypeStateIssuer
114805100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953
Phone (772) 336-6928

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1972721439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "772-336-6928",
            "fax_number": "772-336-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "772-336-6928",
            "fax_number": "772-336-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SPEECH THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "LUQUE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/PRES.",
        "authorized_official_telephone_number": "772-336-6928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114805100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.