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Deactivated NPI 1780823658 Deactivated / Inactive NPI Female Practitioner

Kelly Elmore

Speech-Language Pathologist • Heathrow, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelly Elmore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2009
NPI Deactivation Date June 18, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Kelly Elmore was a registered Speech-Language Pathologist practicing in Heathrow, FL. Throughout an active medical career spanning 17 years, Kelly Elmore provided care at the practice location at 1485 INTERNATIONAL PKWY until profile deactivation on 2026-06-18.

Practice Location & Contact Primary Location

Practice Address

1485 International Pkwy
Suite 2051

Heathrow, FL 327465303

Telephone 8007986035
Associated Practice Facility / Clinic
🏢 Voyage Staffing Facility NPI 1316133788

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Heathrow, FL

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

Practicing in Heathrow, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 014553

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

40 Associated Practitioners
Cyndi Hyde , COTA

Occupational Therapy Assistant

NPI 1003000787

Certified Occupational Therapy Assistant

Teronna Bosserman

Occupational Therapy Assistant

NPI 1003099987
Grete Kofoed

Physical Therapist

NPI 1003120270
Ruth Graves

Physical Therapy Assistant

NPI 1023306214
Lisa Parker

Occupational Therapy Assistant

NPI 1033376009
NPI 1043439458

OTASSIATANT

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 18, 2026

Record deactivated on June 18, 2026

NPI Profile Active February 17, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 17, 2009

Registered at 1485 INTERNATIONAL PKWY, SUITE 2051, HEATHROW, FL 327465303 (Tel: 8007986035)

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Updated Business Mailing Address February 17, 2009

Registered at 137 PENN LN, ROCHESTER, NY 146252213

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Provider Name / Credentials Updated February 17, 2009

Recorded as KELLY ELMORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2009

Speech-Language Pathologist (License #014553 in NY)

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Initial NPI Registration & Enumeration February 17, 2009

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: 1780823658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2009
Last Update: February 17, 2009
Deactivation Date: June 18, 2026

Mailing Address

137 Penn Ln

Rochester, NY 146252213

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.