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Ponte Vedra Speech Therapy LLC

NPI 1902629587ActiveOrganization· Speech-Language Pathologist· Ponte Vedra, FL

Speech-Language Pathologist in Ponte Vedra, Florida, registered in NPPES in November 2024, part of Ponte Vedra Speech Language and Learning LLC. The authorized official on file is Sonya Marie Olsen, MS, CCC-SLP, Ceo.

Overview

NPI1902629587
StatusActive
Entity typeOrganization (subpart)
Parent organizationPonte Vedra Speech Language and Learning LLC
NPI issuedNov 4, 2024
Last updated in NPPESNov 4, 2024
Certified by providerNov 4, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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