SPEECH AVENUES THERAPY CO - NPI 1316456452 - Clinic/Center in Rockledge, FL

Q: What is Speech Avenues Therapy Co's NPI number?

The NPI number for Speech Avenues Therapy Co is 1316456452. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider was formerly known as Speech Pathways Of Brevard Inc.

Q: What is Speech Avenues Therapy Co's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Speech Avenues Therapy Co NPPES

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

SPEECH AVENUES THERAPY CO (NPI 1316456452), doing business as Speech Pathways Of Brevard Inc, is a healthcare organization registered as a clinic/center in Rockledge, Florida and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Rockledge and lists Gail Walter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316456452

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSPEECH AVENUES THERAPY CO

Location Address107 LONGWOOD AVERockledge, FL 32955-2827

Mailing Address4555 Showdow StCocoa, FL 32926-2807 · (321) 338-2419

Phone(321) 338-2419

Fax(321) 301-4278

Organization SubpartNo

Authorized OfficialGail WalterCeo · (321) 338-2419

Enumeration DateSeptember 20, 2017

Last NPPES UpdateJuly 20, 20226 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1316456452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License SA12232 (FL)

107 LONGWOOD AVE, Rockledge, FL 32955

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Other Names 1

Former Legal Business NameSpeech Pathways Of Brevard Inc

Secondary Practice Location 1

Location 11237 Florida Ave SRockledge, FL 32955 · Phone (321) 338-2419 · Fax (321) 284-8190

Other Identifiers 1

Medicaid006382800FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans.Insurance ›

Other Providers at the Same Location NPPES 13

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

MS. KAITLYN SHEA MELLICK CF-SLP

Speech-Language Pathologist