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PONTE VEDRA SPEECH THERAPY LLC
NPI 1902629587
Speech-Language Pathologist in Ponte Vedra, FL

Active since November 04, 2024
30 TAVERNIER DR UNIT B, PONTE VEDRA, FL 32081(904) 844-3136(904) 789-6295 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ponte Vedra Speech Therapy Llc NPPES

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

PONTE VEDRA SPEECH THERAPY LLC (NPI 1902629587) is a healthcare organization registered as a speech-language pathologist in Ponte Vedra, Florida and active in the NPI registry since November 2024. The organization lists Sonya Marie Olsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902629587
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NamePONTE VEDRA SPEECH THERAPY LLC
Location Address30 TAVERNIER DR UNIT BPonte Vedra, FL 32081-0677
Mailing Address30 Tavernier Dr Unit BPonte Vedra, FL 32081-0677 · (904) 844-3136 · Fax (904) 789-6295
Phone(904) 844-3136
Fax(904) 789-6295
Organization SubpartYesParent: Ponte Vedra Speech Language And Learning Llc
Authorized OfficialSonya Marie OlsenCeo · (904) 844-3136
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1902629587 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.
30 TAVERNIER DR UNIT B, Ponte Vedra, FL 32081
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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 2

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

RACHEL WARE OTD, OTR/L
Occupational Therapist
30 TAVERNIER DR UNIT B
PONTE VEDRA, FL 32081
St. Johns County (904) 404-2345
MRS. ALICIA ANA OTERO MA; CCC-SLP
Speech-Language Pathologist
30 TAVERNIER DR UNIT B
PONTE VEDRA, FL 32081
St. Johns County (904) 404-2345

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 Ponte Vedra Speech Therapy LLC's NPI number?

The NPI number for Ponte Vedra Speech Therapy LLC is 1902629587. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Ponte Vedra Speech Therapy LLC located?

Ponte Vedra Speech Therapy LLC is located at 30 Tavernier Dr Unit B, Ponte Vedra, FL 32081. The listed phone number is (904) 844-3136.

What is Ponte Vedra Speech Therapy LLC'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 Ponte Vedra Speech Therapy LLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.