FULLSAIL THERAPY SERVICE, LLC
NPI 1487352662
Speech-Language Pathologist in Tavares, FL

Q: What is Fullsail Therapy Service, LLC's NPI number?

The NPI number for Fullsail Therapy Service, LLC is 1487352662. It was assigned to this organization in the NPPES registry on February 17, 2023.

Q: What is Fullsail Therapy Service, LLC's specialty?

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

Active since February 17, 2023

2760 DORA AVE, TAVARES, FL 32778(352) 455-3079(352) 508-5113 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fullsail Therapy Service, Llc NPPES

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

FULLSAIL THERAPY SERVICE, LLC (NPI 1487352662) is a healthcare organization registered as a speech-language pathologist in Tavares, Florida and active in the NPI registry since February 2023. The organization lists Dolly Nieves, Directory Of Therapy, as its authorized official.

NPPES Registry Identity

NPI1487352662

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameFULLSAIL THERAPY SERVICE, LLC

Location Address2760 DORA AVETavares, FL 32778-4970

Mailing Address19126 Park Place BlvdEustis, FL 32736-7261 · (352) 455-3079 · Fax (352) 508-5113

Phone(352) 455-3079

Fax(352) 508-5113

Organization SubpartNo

Authorized OfficialDolly NievesDirectory Of Therapy · (407) 529-5719

Enumeration DateFebruary 17, 2023

NPPES CertifiedFebruary 17, 2023

✔ NPI 1487352662 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.

2760 DORA AVE, Tavares, FL 32778

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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

Other Providers at the Same Location NPPES 12

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

KELLY JEAN HODGE

Occupational Therapy Assistant