DIVINE DELIVERANCE THERAPY SERVICES, LLC
NPI 1730612185
Speech-Language Pathologist in Orlando, FL
About Divine Deliverance Therapy Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE DELIVERANCE THERAPY SERVICES, LLC (NPI 1730612185) is a healthcare organization registered as a speech-language pathologist in Orlando, Florida and active in the NPI registry since April 2017. The organization lists Labrina A Jackson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Deliverance Therapy Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Divine Deliverance Therapy Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Divine Deliverance Therapy Services, LLC's NPI number?
The NPI number for Divine Deliverance Therapy Services, LLC is 1730612185. It was assigned to this organization in the NPPES registry on April 4, 2017.
Where is Divine Deliverance Therapy Services, LLC located?
Divine Deliverance Therapy Services, LLC is located at 5401 S Kirkman Rd Ste 310, Orlando, FL 32819. The listed phone number is (407) 719-3024.
What is Divine Deliverance Therapy Services, LLC's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Divine Deliverance Therapy Services, LLC enrolled in Medicare?
Yes. Divine Deliverance Therapy Services, LLC is registered in the Medicare PECOS enrollment system.
When is Divine Deliverance Therapy Services, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Divine Deliverance Therapy Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Divine Deliverance Therapy Services, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Divine Deliverance Therapy Services, LLC was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Divine Deliverance Therapy Services, Llc · NPI 1730612185
Speech-Language Pathologist organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since April 4, 2017.
## Identity
- **NPI:** 1730612185 (Entity type: Organization)
- **Enumerated:** April 4, 2017
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Labrina Jackson, OWNER
## Practice location
- **Address:** 5401 S KIRKMAN RD STE 310, Orlando, FL 32819-7937
- **Phone:** (407) 719-3024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Qualified Speech Language Pathologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1730612185) · Data from the CMS NPPES public registry.