ATLANTIC SPEECH THERAPY NPI 1053855452

NPI Information

  • NPI: 1053855452
  • Provider Name: ATLANTIC SPEECH THERAPY
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 145 HILDEN ROAD #113
    PONTE VEDRA, FL
    ZIP 32081
  • Phone: (904) 652-5408

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NPI Details

ATLANTIC SPEECH THERAPY is a speech language pathologist in Ponte Vedra, FL. The provider is 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. ATLANTIC SPEECH THERAPY NPI is 1053855452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

145 HILDEN ROAD #113
PONTE VEDRA, FL
ZIP 32081-139
Phone: (904) 652-5408
Fax: (877) 652-5052

The provider's authorized official is Jessica Beth Otto .
The authorized official title is Owner/director and has the following contact phone number (904) 652-5408.

The enumeration date for this NPI number is 12/5/2016 and was last updated on 3/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSA 11834FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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