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ENRI FORT MS,CCC-SLP
NPI 1497385520
Speech-Language Pathologist in Fort Walton Beeach, FL

Active since January 16, 2020
1992 LEWIS TURNER BLVD SUITE 1067 #255, FORT WALTON BEEACH, FL 32547(850) 830-3314(850) 904-0355 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2024, Jul 19, 2024, Jul 9, 2024 and 4 more (7 updates tracked since 2020).

About Enri Fort Ms,ccc-slp NPPES

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

ENRI FORT MS,CCC-SLP (NPI 1497385520) is an individual speech-language pathologist provider in Fort Walton Beeach, Florida, licensed in Florida (SA18378) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1497385520
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameENRI FORTCredential: MS,CCC-SLP
Location Address1992 LEWIS TURNER BLVD SUITE 1067 #255Fort Walton Beeach, FL 32547
Mailing Address106 Black Bear CirNiceville, FL 32578-1202 · (850) 830-3314 · Fax (850) 904-0355
Phone(850) 830-3314
Fax(850) 904-0355
Sole ProprietorYes
Enumeration DateJanuary 16, 2020
Last NPPES UpdateNovember 10, 20247 updates tracked since enumeration
NPPES CertifiedNovember 10, 2024
✔ NPI 1497385520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA18378
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.
Also ListedDevelopmental TherapistTaxonomy 222Q00000X · License 18378 (FL)

Other Names 1

Other Name (5)Enri Yamashita Fort Ms,ccc-slp

Other Identifiers 6

Medicaid117725200FL
Other12030298MD · Asha Ccc
OtherSA18378FL · Doh
Medicaid118480700FL
Medicaid117493600FL
Medicaid118599100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enri Fort Ms,ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Enri Fort reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bluewater Behavioral Health Inc
Psychiatric/Mental Health
4400 E HIGHWAY 20 STE 208
Niceville, FL 32578
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1922562628 (575) 520-1230
Logos Communication Therapy Services, LLC
Speech-Language Pathologist
106 BLACK BEAR CIRCLE
Niceville, FL 32578
  • Reassigned Medicare billing, Florida enrollment
NPI 1366140568 (850) 830-3314

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 Enri Fort's NPI number?

The NPI number for Enri Fort is 1497385520. It was assigned to this individual provider in the NPPES registry on January 16, 2020. The provider is also known as Enri Yamashita Fort Ms,ccc-Slp.

Where is Enri Fort located?

Enri Fort practices at 1992 Lewis Turner Blvd Suite 1067 #255, Fort Walton Beeach, FL 32547. The listed phone number is (850) 830-3314.

What is Enri Fort's specialty?

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

Is Enri Fort enrolled in Medicare?

Yes. Enri Fort is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Enri Fort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enri Fort reassigns Medicare benefits to 2 organizations: Bluewater Behavioral Health Inc (Niceville, FL) and Logos Communication Therapy Services, LLC (Niceville, FL). Each 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 Enri Fort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Enri Fort was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.