Atlantic Speech Therapy
NPI 1053855452ActiveOrganization· Speech-Language Pathologist· Ponte Vedra, FL
Speech-Language Pathologist in Ponte Vedra, Florida, registered in NPPES in December 2016, part of Atlantic Speech Therapy. The authorized official on file is Jessica Beth Otto, MS. CCC-SLP, Owner/Director.
Overview
| NPI | 1053855452 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Atlantic Speech Therapy |
| NPI issued | Dec 5, 2016 |
| Last updated in NPPES | Mar 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA 11834 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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