Theresa Patricia Blackwood, SLP
NPI 1558975904ActiveIndividual· Speech-Language Pathologist· Port Orange, FL
Speech-Language Pathologist (SLP) in Port Orange, Florida, licensed in FL, with an NPI issued in September 2020.
Overview
| NPI | 1558975904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SLP |
| Sole proprietor | No |
| NPI issued | Sep 3, 2020 |
| Last updated in NPPES | Sep 3, 2020 |
| Certified by provider | Sep 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 15690 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other speech-language pathologists in Port Orange
- 1609563543
- 1619396116
- 1063942332
- 1083981690
- 1346736386
- 1417591363
- 1528464401
- 1720631401
- 1285058800
- 1720270960
- 1346772423
- 1942625918
All 101 speech-language pathologists in Port Orange · All speech-language pathologists in Florida