Active NPI
Peter F Wolfe, MS, CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1982774980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9039
- Practice address
- 5800 Golf Club Pkwy
Orlando, FL 32808-4800 - Phone
- (407) 299-5553
- Fax
- (407) 299-5520
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004973 | GA | |
| Speech-Language Pathologist | 235Z00000X | SA9039 | FL | Primary |
Addresses
Primary practice location
5800 Golf Club Pkwy
Orlando, FL 32808-4800
Mailing address
1450 Meeting PL
Unit 214
Orlando, FL 32814-5907
Phone (407) 780-0080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000907497B | Medicaid | GA | |
| 10065231 | Other | GA | AMERIGROUP |
| 312242 | Other | GA | WELLCARE |
| 892334500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9039 | FL | MD | Speech-Language Pathologist |
| SLP004973 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1982774980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 MEETING PL",
"address_2": "UNIT 214",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328145907",
"telephone_number": "407-780-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 GOLF CLUB PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328084800",
"telephone_number": "407-299-5553",
"fax_number": "407-299-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "PETER",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004973",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000907497B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10065231",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "312242",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892334500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.