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

Individual provider Speech-Language Pathologist · NPI 1033739461

Jessica Lauren Tate is a Qualified Speech Language Pathologist in Largo, Florida. Qualified in 2020, 6 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

3600 Oak Manor Ln
Largo, FL 33774-1212
Phone: (727) 219-9025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13910 Fivay Rd Ste 6, Hudson, FL 34667-7130 — (727) 869-9479

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1033739461
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2020
Last updated in NPPESAugust 10, 2022
Certification dateOctober 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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