Provider Type Icon

PEDIATRIC THERAPY SOURCE NPI 1528726619


NPI Information

NPI: 1528726619
Provider Name: PEDIATRIC THERAPY SOURCE
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
18809 MARINER INLET DR
BOCA RATON, FL
ZIP 33498
Phone: (732) 232-1126
Get Directions

PEDIATRIC THERAPY SOURCE is a speech language pathologist in Boca Raton, 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. PEDIATRIC THERAPY SOURCE NPI is 1528726619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18809 MARINER INLET DR
BOCA RATON, FL
ZIP 33498-367
Phone: (732) 232-1126

The provider's authorized official is Alison Berg .
The authorized official title is Owner/speech Language Pathologist and has the following contact phone number (732) 232-1126.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes
2261Q00000XClinic/CenterNo
3252Y00000XEarly Intervention Provider AgencyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016604900MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.