MEDICARE: EPHPHATHA SPEECH 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	:	1295690659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPHPHATHA SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	1610 CYPRESS POINTE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4269
Country	:	US
Telephone Number	:	917-685-8012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 CYPRESS POINTE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4269
Country	:	US
Telephone Number	:	917-685-8012
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SPEECH LANGUAGE PATHOLOGIST
Name	:	MARIA BAILEY
Credential	:	MS, CCC-SLP
Telephone Number	:	917-685-8012

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “EPHPHATHA SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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