Individual provider Active NPI

Joan Ivette Collazo-Torres

  • Speech-Language Pathologist
  • Altamonte Springs, FL
National Provider Identifier
1992245799
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21331 Issued in FL
Practice address
285 Uptown Blvd Apt 540
Altamonte Springs, FL 32701-4005
Phone
(787) 409-9453
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117416 TX
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 027726 NY
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SA21331 FL Primary

Addresses

Primary practice location

285 Uptown Blvd Apt 540
Altamonte Springs, FL 32701-4005

Mailing address

285 Uptown Blvd Apt 540
Altamonte Springs, FL 32701-4005
Phone (787) 409-9453

Other identifiers 1

IdentifierTypeStateIssuer
1992245799MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
027726NYMDClinical Neuropsychologist
SA21331FLMDSpeech-Language Pathologist
117416TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Caterpillar PLLC Single Specialty CurrentSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1992245799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 UPTOWN BLVD APT 540",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014005",
            "telephone_number": "787-409-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 UPTOWN BLVD APT 540",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014005",
            "telephone_number": "787-409-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO-TORRES",
        "first_name": "JOAN",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117416",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027726",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992245799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.