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Deactivated NPI 1215325253 Deactivated / Inactive NPI Male Practitioner

Adam Reres

Speech-Language Pathologist • Oviedo, 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, Adam Reres has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2014
NPI Deactivation Date November 14, 2022
Total Practice Duration ~8 Years of Practice (2014 – 2022)

Professional Overview & Biography Verified Profile Summary

Adam Reres was a registered Speech-Language Pathologist practicing in Oviedo, FL. Throughout an active medical career spanning 8 years, Adam Reres provided care at the practice location at 5336 ROCKING HORSE PL until profile deactivation on 2022-11-14.

Practice Location & Contact Primary Location

Practice Address

5336 Rocking Horse Pl

Oviedo, FL 327656128

Telephone 6096106712

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Oviedo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
99 Specialists

Practicing in Oviedo, 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: 2023-05-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA13745

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
014075300 (FL)

Career & Practice History Timeline

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

13 Historical Events
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Updated Practice Location May 04, 2023

Registered at 5336 ROCKING HORSE PL, OVIEDO, FL 327656128 (Tel: 6096106712)

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Updated Business Mailing Address May 04, 2023

Registered at 5336 ROCKING HORSE PL, OVIEDO, FL 327656128 (Tel: 6096106712)

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Provider Name / Credentials Updated May 04, 2023

Recorded as ADAM RERES

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Speech-Language Pathologist (License #SA13745 in FL)

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NPI Profile Deactivated November 14, 2022

Record deactivated on November 14, 2022

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Updated Practice Location April 05, 2018

Registered at 5336 ROCKING HORSE PL, OVIEDO, FL 327656128 (Tel: 6096106712)

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Updated Business Mailing Address April 05, 2018

Registered at 5336 ROCKING HORSE PL, OVIEDO, FL 327656128 (Tel: 6096106712)

NPI Profile Active July 06, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2015

Registered at 5635 ELMHURST CIR, SUITE 211, OVIEDO, FL 327654111 (Tel: 6096106712)

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Updated Business Mailing Address July 06, 2015

Registered at 5635 ELMHURST CIR, SUITE 211, OVIEDO, FL 327654111 (Tel: 6096106712)

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Provider Name / Credentials Updated July 06, 2015

Recorded as ADAM RERES

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2015

Speech-Language Pathologist (License #SA13745 in FL)

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Initial NPI Registration & Enumeration December 29, 2014

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: 1215325253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2014
Last Update: May 04, 2023
Deactivation Date: November 14, 2022
Sole Proprietor: Yes

Mailing Address

5336 Rocking Horse Pl

Oviedo, FL 327656128

Phone: 6096106712

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.