PREMIER PEDIATRIC THERAPY, P.A.
NPI 1114360039
Speech-Language Pathologist in Jupiter, FL

Active since April 10, 2013
1080 E INDIANTOWN RD STE 104, JUPITER, FL 33477(561) 670-4864(561) 258-0812 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Pediatric Therapy, P.a. NPPES

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

PREMIER PEDIATRIC THERAPY, P.A. (NPI 1114360039) is a healthcare organization registered as a speech-language pathologist in Jupiter, Florida and active in the NPI registry since April 2013. The organization lists Laura Mac, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1114360039
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NamePREMIER PEDIATRIC THERAPY, P.A.
Location Address1080 E INDIANTOWN RD STE 104Jupiter, FL 33477-5188
Mailing Address1080 E Indiantown Rd Ste 104Jupiter, FL 33477-5188 · (561) 670-4864 · Fax (561) 258-0812
Fax(561) 258-0812
Organization SubpartNo
Authorized OfficialLaura MacSpeech-language Pathologist · (561) 670-4864
Enumeration DateApril 10, 2013
Last NPPES UpdateJanuary 18, 2016
NPI 1114360039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in FL · SA8369
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.
1080 E INDIANTOWN RD STE 104, Jupiter, FL 33477

Other Identifiers 2

Medicaid890294100FL
Medicaid003349800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
1080 E INDIANTOWN RD STE 104
JUPITER, FL 33477

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 Premier Pediatric Therapy, P.A.'s NPI number?

The NPI number for Premier Pediatric Therapy, P.A. is 1114360039. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Premier Pediatric Therapy, P.A. located?

Premier Pediatric Therapy, P.A. is located at 1080 E Indiantown Rd Ste 104, Jupiter, FL 33477. The listed phone number is (561) 670-4864.

What is Premier Pediatric Therapy, P.A.'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 Premier Pediatric Therapy, P.A. was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.