MR. MATTHEW OMALLEY (NPI# 1457916215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457916215 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW OMALLEY |
| Credential | SLPA, ITDS |
| Practice Address |
201 Thornberry Branch Ln Daytona Beach FL 32124-3652 |
| Mailing Address |
600 Domenico Cir Unit C14 St Augustine FL 32086-7813 |
| Practice Telephone | 3173409490 |
| Mailing Telephone | 3173409490 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SI3849 | FL | Speech, Language and Hearing Service Providers |
| N | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
201 THORNBERRY BRANCH LN |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649452376 | Catherine S Brown | Physical Therapist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2007-12-05 |
| 1780228700 | Emily Bratek | Speech-Language Pathologist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-11-01 |
| 1336781889 | Marilyn Cimafranca | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-10-16 |
| 1578118394 | Ashley Mete | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-08-08 |
| 1710440276 | Lamesha Doushette Killins | Case Manager/Care Coordinator | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-04-11 |
| 1982169454 | Tim Valentine | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-02-08 |
| 1255816427 | Douglas Coney | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-10-03 |
| 1548740475 | Rachel Schatzberg | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-08-20 |
| 1164917688 | Trakenya T Killins | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-06-27 |
| 1568979235 | Star Johnson | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619406923 | Mary Elizabeth Lucas | Specialist/Technologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617461 | Gabriela Crespi | Specialist/Technologist | 13865 Sw 80th St, Miami, FL 33183-3025 | 2020-10-17 |
| 1891393898 | Kayli Alexei Chung | Specialist/Technologist | 17010 Sw 139th Pl, Miami, FL 33177-2720 | 2020-10-12 |
| 1831796507 | Maggie Christine Miller | Specialist/Technologist | 3670 Nw 83rd Ln, Sunrise, FL 33351-1132 | 2020-10-06 |
| 1790392355 | Ashley Elyse Stept | Specialist/Technologist | 12001 Nw 50th Dr, Coral Springs, FL 33076-3522 | 2020-09-28 |
| 1851908438 | Maria Medinilla | Specialist/Technologist | 4064 Sw 95th Ave, Miami, FL 33165-5240 | 2020-09-28 |
| 1891301271 | Carlos Rene Alicea Jr. | Specialist/Technologist | 13574 Village Park Dr Ste Suite205, Orlando, FL 32837-7689 | 2020-09-21 |
| 1962018739 | Briana Luckie Savastano | Specialist/Technologist | 111 E Lake Mary Blvd Ste 113, Sanford, FL 32773-7111 | 2020-09-17 |
| 1700490851 | Katiria Mary Santana Suarez | Specialist/Technologist | 299 Longley Dr Unit B, Port Charlotte, FL 33954-1142 | 2020-09-05 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1184237729 | Jorja Ruby | Specialist/Technologist | 5140 Gate Pkwy Apt 1108, Jacksonville, FL 32256-0259 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
Please comment or provide details below to improve the information on MR. MATTHEW OMALLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.