MEDICARE: CENTER FOR ADVANCED PEDIATRIC SPEECH THERAPY, INC.

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	:	1881524072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ADVANCED PEDIATRIC SPEECH THERAPY, INC.

Provider Business Mailing Address
First Line	:	6436 KALAMA RD
Second Line	:
City	:	KAPAA
State	:	HI
Zip	:	96746-8633
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1449 SW 10TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312
Country	:	US
Telephone Number	:	786-571-5322
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MELANIE CAP
Credential	:	M.S.,CCC-SLP
Telephone Number	:	786-571-5322

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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