Lively Speech and Language Therapy, LLC
NPI 1912614488 · Speech-Language Pathologist · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1912614488
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Sarah Lively, Ceo & Founder(904) 729-6759
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lively Speech and Language Therapy
- Doing business as
- Lively Speech and Language Therapy
Registry dates
- Enumerated
- 2022-11-03
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.