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MR. KENNETH MICHAEL PETERS M.A., SLP
NPI 1982072849
Speech-Language Pathologist in Miami, FL

Active since September 09, 2015
790 NW 107TH AVE STE 209, MIAMI, FL 33172(786) 512-4793(786) 441-4413 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2020, Sep 24, 2019 (2 updates tracked since 2019).

About Mr. Kenneth Michael Peters M.a., Slp NPPES

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

MR. KENNETH MICHAEL PETERS M.A., SLP (NPI 1982072849) is an individual speech-language pathologist provider in Miami, Florida, licensed in Florida (SA6156) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1982072849
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. KENNETH MICHAEL PETERSCredential: M.A., SLP
Location Address790 NW 107TH AVE STE 209Miami, FL 33172-3158
Mailing Address790 Nw 107th Ave Ste 209Miami, FL 33172-3158 · (786) 512-4793 · Fax (786) 441-4413
Phone(786) 512-4793
Fax(786) 441-4413
Sole ProprietorYes
Enumeration DateSeptember 9, 2015
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
✔ NPI 1982072849 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
License✔ Licensed in FL · SA6156
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.
790 NW 107TH AVE STE 209, Miami, FL 33172
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth Michael Peters M.a., Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Peters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diversified Services For Occupational Therapy, Physical Therapy, Speec
1,188 mi
Physical Medicine & Rehabilitation
2900 DELAWARE AVE
Kenmore, NY 14217
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Diversified Services For Occupational Therapy Physical Ther
  • 36 clinicians in this Medicare group
NPI 1417576547 (716) 871-9915

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
558 services13 patients

Other Providers at the Same Location NPPES

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

DIANE PETERS M.A.,CCC-SLP
Speech-Language Pathologist
790 NW 107TH AVE STE 209
MIAMI, FL 33172
Miami-Dade County (786) 512-4793

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 Kenneth Peters's NPI number?

The NPI number for Kenneth Peters is 1982072849. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Kenneth Peters located?

Kenneth Peters practices at 790 NW 107th Ave Ste 209, Miami, FL 33172. The listed phone number is (786) 512-4793.

What is Kenneth Peters's specialty?

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

Is Kenneth Peters enrolled in Medicare?

Yes. Kenneth Peters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Peters reassigns Medicare benefits to Diversified Services For Occupational Therapy, Physical Therapy, Speec (Kenmore, NY). The 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 Kenneth Peters'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 Kenneth Peters was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.