Theraplayhouse, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

3006 Issued in SC

Legal business name

THERAPLAYHOUSE, LLC

Practice address

515 Fulmore Rd
Lake City, SC 29560-7903

Phone

(843) 495-6404

NPI assigned

Jun 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan M Palmer, MSP, CCC/SLP

Title

Speech Pathologist/ Initial Agent

Phone

(843) 495-6404

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1003077611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FULMORE RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607903",
            "telephone_number": "843-495-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FULMORE RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607903",
            "telephone_number": "843-495-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPLAYHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/ INITIAL AGENT",
        "authorized_official_telephone_number": "843-495-6404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSP, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stokes Regional Eye Center
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• Yvonne Floyd Stuckey
• Radhika Swaminathan, DDS
• Margaret Elaine Tanner, APRN
• Therapy Blooms Wellness, LLC
• Terrell Thomas
• James J Thomy, M.D.
• Lila Timmons
• Jill Rogers Tisdale

• Early Intervention Provider Agency in Lake City, SC
• Providers in Lake City, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.