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

Lively Speech and Language Therapy, LLC

Organization Pediatric Occupational Therapist · NPI 1912614488

Lively Speech and Language Therapy, LLC is a Pediatric Occupational Therapist in St Augustine, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Nature Walk Pkwy Unit 108
St Augustine, FL 32092-3065
Phone: (904) 729-6759
Fax: (904) 490-8549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1912614488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Lively — Ceo & Founder · (904) 729-6759
Other names Lively Speech And Language Therapy; Lively Speech And Language Therapy
NPI enumeratedNovember 3, 2022
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065

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