Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Speech Therapy

Organization Speech-Language Pathologist · NPI 1053855452

Atlantic Speech Therapy is a Speech-Language Pathologist in Ponte Vedra, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

145 Hilden Rd #113
Ponte Vedra, FL 32081-5139
Phone: (904) 652-5408
Fax: (877) 652-5052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA 11834 (FL)

Record details

NPI number1053855452
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAtlantic Speech Therapy
Authorized official Jessica Otto — Owner/Director · (904) 652-5408
NPI enumeratedDecember 5, 2016
Last updated in NPPESMarch 22, 2019
Mailing address11512 Lake Mead Ave, Suite 604, Jacksonville, FL 32256-9680

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