Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023158086 Individual Practitioner Female Practitioner

Mary Lisa Millbourn , MA, CCC SLP

Speech-Language Pathologist • Sarasota, FL

Professional Overview & Biography Verified Profile Summary

Mary Millbourn, MA, CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sarasota, FL. Practice services are available at 5661 RAND BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5661 Rand Boulevard

Sarasota, FL 34238

Telephone 9419278805

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sarasota, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
148 Specialists

Practicing in Sarasota, FL (11640 Statewide)

Telehealth Adoption Rate
1.4% 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 FL SA3169

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

8 Associated Practitioners
Dr. James Orr , PT, DPT

Physical Therapist

NPI 1275991424

Physical Therapist, Doctor of Physical Therapy

NPI 1447352380

Doctor of Audiology

Christine Swartzentruber

Speech-Language Pathologist

NPI 1609164540
Amy Chorazak , MA, CCC-SLP

Speech-Language Pathologist

NPI 1730228677

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Mary Horan , OTL

Occupational Therapist

NPI 1760529747
Catherine Reckord

Speech-Language Pathologist

NPI 1780793034

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5661 RAND BOULEVARD, SARASOTA, FL 34238 (Tel: 9419278805)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4521 COCOANUT AVE, SARASOTA, FL 342344658 (Tel: 9413515550)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY MILLBOURN, M.A., CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA3169 in FL)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023158086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4521 Cocoanut Ave

Sarasota, FL 342344658

Phone: 9413515550

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.