TINA MARIE OTHMAN (NPI# 1639632102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639632102 |
| Entity Type | Individual |
| Full Name | TINA MARIE OTHMAN |
| Credential | MA,CCC/SLP |
| Practice Address |
1297 Us 27 N Lake Placid FL 33852-7907 |
| Mailing Address |
5727 Autumn Chase Cir Sanford FL 32773-8173 |
| Practice Telephone | 9147016775 |
| Mailing Telephone | 4073899294 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA7575 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
1297 US 27 N |
| City | LAKE PLACID |
| State | FL |
| Zip Code | 33852-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528207693 | Southern Lifestyle Alf of Lake Placid LLC | Alzheimer Center (Dementia Center) | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2009-02-13 |
| 1679172530 | Joshua Claypool | Physical Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2020-10-21 |
| 1194389098 | Evelyn Anekpo | Occupational Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2019-04-25 |
| 1093379034 | Sherri Lynn Bowman | Occupational Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2019-04-25 |
| 1134699804 | Javier Leandro Fernandez | Physical Therapist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2018-11-26 |
| 1831674852 | Guyron Levan Mills | Physical Therapist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2018-09-25 |
| 1861979338 | Roy Arceo Damolo | Occupational Therapist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2018-07-26 |
| 1548776701 | James Riley | Physical Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2017-12-22 |
| 1316478043 | Charlene Marsh | Clinic/Center | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2017-03-24 |
| 1568901759 | Janelle Edwards | Physical Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728763 | Eduardo Enrique Florez | Behavior Technician | 621 S Sun N Lakes Blvd, Lake Placid, FL 33852 | 2018-07-30 |
| 1841738051 | Halcyon Rehabilitation, LLC | Clinic/Center | 1297 Us-27, Lake Placid, FL 33852 | 2017-02-08 |
| 1386014009 | Randolph Giller | Hearing Instrument Specialist | 403 E. Interlake Blvd., Lake Placid, FL 33852 | 2015-10-07 |
| 1275918369 | Toyeca Robinson | Technician, Other | 448 Lake Gloria Dr, Lake Placid, FL 33852 | 2015-07-30 |
| 1720422405 | Nic 4 Balmoral Leasing LLC | Assisted Living Facility | 93 Balmoral Drive, Lake Placid, FL 33852 | 2013-04-24 |
| 1720036908 | Stephanie Delbert | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2006-05-04 |
| 1821084013 | Eladio Lao | Anesthesiology | 1012 Hwy 27 N, Lake Placid, FL 33852 | 2005-09-22 |
| 1699204693 | Stephaniedelbert,arnp,inc | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2017-06-05 |
| 1639228398 | James Edward Oxer | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2007-01-10 |
| 1093293847 | Thomas Veronee | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2018-08-03 |
| Find all providers in zip 33852 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831474923 | Sundance Therapy Inc | Speech-Language Pathologist | 147 Tower St, Lake Placid, FL 33852-6836 | 2011-10-20 |
| 1043464852 | Patricia Dean Friedlander | Speech-Language Pathologist | 16 Autumn Way, Lake Placid, NY 12946-3634 | 2008-11-06 |
| 1396902771 | Sharon Brady | Speech-Language Pathologist | 205 Beauregard St, Lake Placid, FL 33852-9480 | 2008-05-22 |
| 1831238047 | Meredith Jeannette Ritacco | Speech-Language Pathologist | 116 Chieftain St Nw, Lake Placid, FL 33852-8858 | 2007-02-05 |
| 1538778964 | Tara Kathryn Lundmark | Speech-Language Pathologist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2020-07-31 |
| 1972073492 | Myleishka Marie Santos Echevarria | Speech-Language Pathologist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2018-11-27 |
| 1740773217 | Antonio Peterson | Speech-Language Pathologist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2018-06-11 |
| 1629312095 | Alisha Mullarney | Speech-Language Pathologist | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2012-11-25 |
| 1154632115 | Vicki L Kirchner | Speech-Language Pathologist | 318 Old Military Rd, Lake Placid, NY 12946-1811 | 2010-06-24 |
| 1700197779 | Holli P Lynch | Speech-Language Pathologist | 34 School St, Lake Placid, NY 12946-3323 | 2010-06-24 |
| Find all providers in LAKE PLACID | ||||
| City | LAKE PLACID |
| Zip Code | 33852 |
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| 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.