MEDICARE: TNT PEDIATRIC THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1255290979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TNT PEDIATRIC THERAPY, LLC

Provider Business Mailing Address
First Line	:	13240 BRISTOL PARK WAY
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7800
Country	:	US
Telephone Number	:	239-243-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	13240 BRISTOL PARK WAY
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7800
Country	:	US
Telephone Number	:	239-243-1000
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	SHANNON BARBER
Credential	:	MA, CCC-SLP
Telephone Number	:	239-243-1000

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “TNT PEDIATRIC THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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