SUPREME SPEECH THERAPY INC
NPI 1205642436
Speech-Language Pathologist in Hollywood, FL

Active since December 03, 2024
4460 CASPER CT, HOLLYWOOD, FL 33021(954) 613-8563(954) 827-3874 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Supreme Speech Therapy Inc NPPES

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

SUPREME SPEECH THERAPY INC (NPI 1205642436) is a healthcare organization registered as a speech-language pathologist in Hollywood, Florida and active in the NPI registry since December 2024. The organization lists Heather Berner, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1205642436
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSUPREME SPEECH THERAPY INC
Location Address4460 CASPER CTHollywood, FL 33021-2416
Mailing Address4460 Casper CtHollywood, FL 33021-2416 · (954) 613-8563 · Fax (954) 827-3874
Fax(954) 827-3874
Organization SubpartNo
Authorized OfficialHeather BernerSpeech Language Pathologist · (954) 613-8563
Enumeration DateDecember 3, 2024
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1205642436 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
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.
4460 CASPER CT, Hollywood, FL 33021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supreme Speech Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Supreme Speech Therapy Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Qualified Speech Language Pathologist
NPI 1174914071
4460 CASPER CT
Hollywood, FL 33021
(954) 483-7859
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1235838459
1051 N MIAMI BEACH BLVD
North Miami Beach, FL 33162
(954) 859-4056
✔ Accepts Medicare7.6 mi
Qualified Speech Language Pathologist
NPI 1942584891
17911 NW 68TH AVE APT P-202
Hialeah, FL 33015
(954) 701-3562
✔ Accepts Medicare10 mi
Qualified Speech Language Pathologist
NPI 1518843283
4324 N FEDERAL HWY
Fort Lauderdale, FL 33308
(954) 260-3121
11 mi
Qualified Speech Language Pathologist
NPI 1508008244
2760 WHITMAN DR
Brooklyn, NY 11234
(917) 428-6059
✔ Accepts Medicare1,067 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Supreme Speech Therapy Inc's NPI number?

The NPI number for Supreme Speech Therapy Inc is 1205642436. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Supreme Speech Therapy Inc located?

Supreme Speech Therapy Inc is located at 4460 Casper Ct, Hollywood, FL 33021. The listed phone number is (954) 613-8563.

What is Supreme Speech Therapy Inc's specialty?

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

Is Supreme Speech Therapy Inc enrolled in Medicare?

Yes. Supreme Speech Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Supreme Speech Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Qualified Speech Language Pathologist, reassign their Medicare billing to Supreme Speech Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Supreme Speech Therapy Inc was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.