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MRS. AFTON D THEOBALD
NPI 1023379435
Speech-Language Pathologist in Fort Myers, FL

Active since June 01, 2012
12220 TOWNE LAKE DR, STE 1, FORT MYERS, FL 33913(239) 433-6700(239) 433-6703 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Sep 27, 2019 (2 updates tracked since 2019).

About Mrs. Afton D Theobald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AFTON D THEOBALD (NPI 1023379435) is an individual speech-language pathologist provider in Fort Myers, Florida, licensed in Florida (SA12565) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1023379435
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. AFTON D THEOBALD
Location Address12220 TOWNE LAKE DR, STE 1Fort Myers, FL 33913
Mailing Address12220 Towne Lake Dr, Ste 1Fort Myers, FL 33913 · (239) 433-6700 · Fax (239) 433-6703
Phone(239) 433-6700
Fax(239) 433-6703
Sole ProprietorYes
Enumeration DateJune 1, 2012
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1023379435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA12565
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
12220 TOWNE LAKE DR, Fort Myers, FL 33913
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Other Identifiers 1

Medicaid009427500FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIANA BERNABE JOSEPH
Social Worker
12220 TOWNE LAKE DR
FORT MYERS, FL 33913
Lee County (239) 887-0435
MICHELLE COOPER
Social Worker (Clinical)
12220 TOWNE LAKE DR
FORT MYERS, FL 33913
Lee County (239) 645-3866
LURIE CARRERA OTERO
Social Worker (Clinical)
12220 TOWNE LAKE DR
FORT MYERS, FL 33913
Lee County (239) 645-3866
MRS. MEGHAN ELIZABETH BURBACH P.T.
Physical Therapist
12220 TOWNE LAKE DR
FORT MYERS, FL 33913
Lee County (239) 433-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Afton Theobald's NPI number?

The NPI number for Afton Theobald is 1023379435. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Afton Theobald located?

Afton Theobald practices at 12220 Towne Lake Dr Ste 1, Fort Myers, FL 33913. The listed phone number is (239) 433-6700.

What is Afton Theobald's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Afton Theobald was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.