JESSICA PETTY
NPI 1457784167
Speech-Language Pathologist in Port Orange, FL

Active since August 16, 2013
5535 S WILLIAMSON BLVD, SUITE#774, PORT ORANGE, FL 32128(800) 330-7711(386) 944-7202 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Petty NPPES

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

JESSICA PETTY (NPI 1457784167) is an individual speech-language pathologist provider in Port Orange, Florida, licensed in Florida (107878) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1457784167
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA PETTY
Location Address5535 S WILLIAMSON BLVD, SUITE#774Port Orange, FL 32128-8311
Mailing Address5535 S Williamson Blvd, Suite#774Port Orange, FL 32128-8311 · (800) 330-7711 · Fax (386) 944-7202
Fax(386) 944-7202
Sole ProprietorYes
Enumeration DateAugust 16, 2013
NPI 1457784167 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 · 107878
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.
5535 S WILLIAMSON BLVD, Port Orange, FL 32128

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
5535 S WILLIAMSON BLVD, STE 774
PORT ORANGE, FL 32128
Occupational Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128
Occupational Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Speech-Language Pathologist
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128
Physical Therapy Assistant
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128

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 Jessica Petty's NPI number?

The NPI number for Jessica Petty is 1457784167. It was assigned to this individual provider in the NPPES registry on August 16, 2013.

Where is Jessica Petty located?

Jessica Petty practices at 5535 S Williamson Blvd Suite#774, Port Orange, FL 32128. The listed phone number is (800) 330-7711.

What is Jessica Petty'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 Jessica Petty was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.