OrganizationActive
Therapy Connection of the Treasure Coast
NPI 1124486949 · Speech-Language Pathologist · Port St Lucie, FL
Provider details
- NPI number
- 1124486949
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Justine Theisen, Owner(772) 301-1207
- License
- SA10918 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
549 Nw Lake Whitney Pl Ste 104
Port St Lucie, FL 34986
Phone: (772) 301-1207
Fax: (772) 301-1255
Approximate (ZIP-level) locationGet directions
Mailing address
549 Nw Lake Whitney Pl Ste 104
Port St Lucie, FL 34986-1606
Registry dates
- Enumerated
- 2016-02-08
- Last updated
- 2018-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.