Fresh Start Speech Therapy Services LLC.
NPI 1528591302 · Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fresh Start Speech Therapy Services LLC. is a Clinic/Center organization in Jacksonville, FL (NPI 1528591302).
Provider details
- NPI number
- 1528591302
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khalilah Marques, Director, Manager(904) 652-6165
Specialties & taxonomies
Ambulatory Health Care Facilities
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1201 Fountain Park CirBrunswick, GA 31520-4859Phone: (912) 837-0008Fax: (833) 241-4607
Registry dates
- Enumerated
- 2017-04-07
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Frequently asked questions
- What is Fresh Start Speech Therapy Services LLC.'s NPI number?
- Fresh Start Speech Therapy Services LLC.'s National Provider Identifier (NPI) is 1528591302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Start Speech Therapy Services LLC.?
- Fresh Start Speech Therapy Services LLC. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fresh Start Speech Therapy Services LLC. located?
- Fresh Start Speech Therapy Services LLC.'s practice location on file with NPPES is 9957 Moorings Dr Ste 301, Jacksonville, FL 32257-2415.
- What is Fresh Start Speech Therapy Services LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Fresh Start Speech Therapy Services LLC. is (904) 652-6165.
- Does Fresh Start Speech Therapy Services LLC. accept Medicare?
- Fresh Start Speech Therapy Services LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fresh Start Speech Therapy Services LLC.?
- The authorized official listed on Fresh Start Speech Therapy Services LLC.'s NPPES record is Khalilah Marques, Director, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Start Speech Therapy Services LLC.'s NPI active?
- Yes — Fresh Start Speech Therapy Services LLC.'s NPI (1528591302) is active in the NPPES registry as of the last update on 2023-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.