Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205560422 Individual Practitioner Female Practitioner

Mya Lucero Medina , CCC-SLP

Speech-Language Pathologist • Davenport, FL

Professional Overview & Biography Verified Profile Summary

Mya Medina, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Davenport, FL. Practice services are available at 40124 HIGHWAY 27 STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

40124 Highway 27 Ste 103

Davenport, FL 338375905

Telephone 8634192500

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Davenport, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Davenport, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA20339

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Lashandra Dodard , PTA

Physical Therapy Assistant

NPI 1013611664

Physical Therapist Assistant

Gina Bongirno , OTR, L

Occupational Therapist

NPI 1063288405

Occupational Therapist Registered, L

NPI 1093482978

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Dr. Justin Stephan , DPT

Physical Therapist

NPI 1275363111

Doctor of Physical Therapy

Stacie Barranco , PT

Physical Therapist

NPI 1497374342

Physical Therapist

William Keith , PT

Physical Medicine & Rehabilitation

NPI 1568173185

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2022

Registered at 40124 HIGHWAY 27 STE 103, DAVENPORT, FL 338375905 (Tel: 8634192500)

📍
Updated Business Mailing Address July 13, 2022

Registered at 120 BRAD CIR, WINTER HAVEN, FL 338804983 (Tel: 8636049886)

👤
Provider Name / Credentials Updated July 13, 2022

Recorded as MYA MEDINA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2022

Speech-Language Pathologist (License #SA20339 in FL)

🟢
Initial NPI Registration & Enumeration July 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205560422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2022
Last Update: July 13, 2022
Sole Proprietor: Yes

Mailing Address

120 Brad Cir

Winter Haven, FL 338804983

Phone: 8636049886

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.