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ATLANTIC SPEECH THERAPY
NPI 1568614642
Speech-Language Pathologist in Jacksonville, FL

Active since October 21, 2008
11512 LAKE MEAD AVE., SUITE 604, JACKSONVILLE, FL 32256(904) 652-5408(877) 652-5052 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlantic Speech Therapy NPPES

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

ATLANTIC SPEECH THERAPY (NPI 1568614642) is a healthcare organization registered as a speech-language pathologist in Jacksonville, Florida and active in the NPI registry since October 2008. The organization lists Jessica Otto, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1568614642
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameATLANTIC SPEECH THERAPY
Location Address11512 LAKE MEAD AVE., SUITE 604Jacksonville, FL 32256
Mailing Address11512 Lake Mead Ave., Suite 604Jacksonville, FL 32256 · (904) 652-5408 · Fax (877) 652-5052
Phone(904) 652-5408
Fax(877) 652-5052
Organization SubpartNo
Authorized OfficialJessica OttoOwner/director · (904) 652-5408
Enumeration DateOctober 21, 2008
Last NPPES UpdateMarch 23, 2015
✔ NPI 1568614642 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
Licenses✔ Licensed in FL · SA5968✔ Licensed in FL · SA9598
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.
11512 LAKE MEAD AVE., Jacksonville, FL 32256
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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

Other Providers at the Same Location NPPES 2

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

MRS. BARBARA FELDMAN LMHC
Counselor (Mental Health)
11512 LAKE MEAD AVE., SUITE 703
JACKSONVILLE, FL 32256
Duval County (904) 646-0054
TARA O'BRIEN BCABA
Behavior Analyst
11512 LAKE MEAD AVE., SUITE 601
JACKSONVILLE, FL 32256
Duval County (904) 374-8536

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 Atlantic Speech Therapy's NPI number?

The NPI number for Atlantic Speech Therapy is 1568614642. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Atlantic Speech Therapy located?

Atlantic Speech Therapy is located at 11512 Lake Mead Ave. Suite 604, Jacksonville, FL 32256. The listed phone number is (904) 652-5408.

What is Atlantic Speech Therapy'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 Atlantic Speech Therapy was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.