OrganizationActive
Impactful Therapy Services LLC
NPI 1306200373 · Speech-Language Pathologist · Saint Johns, FL
Provider details
- NPI number
- 1306200373
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Adeyemo, Speech-Language Pathologist(404) 452-1640
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
308 Tollerton Ave
Saint Johns, FL 32259-6305
Phone: (404) 452-1640
Street-level locationGet directions
Mailing address
308 Tollerton Ave
Saint Johns, FL 32259-6305
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2016-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.