Individual provider Active NPI

Tory Irene Candea, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bluffton, SC
National Provider Identifier
1003240631
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
29 Plantation Park Dr
Suite #403
Bluffton, SC 29910
Phone
(843) 815-6999
Fax
(843) 815-6999
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

29 Plantation Park Dr
Suite #403
Bluffton, SC 29910

Mailing address

29 Plantation Park Dr
Suite #403
Bluffton, SC 29910-9001
Phone (843) 815-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526001494 GA Practitioner - Qualified Speech Language Pathologist 3072934280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy LLC CurrentSince May 19, 2020 Accepting new patients
Lowcountry Center Past Accepting new patients
Lowcountry Therapy Center, LLC Speech-Language Pathologist Past Accepting new patients

Locations

275 Carpenter Dr
Ste 210
Sandy Springs, GA 30328
Phone (404) 565-2266

275 Carpenter Dr
Ste 104
Sandy Springs, GA 30328
Phone (404) 943-0217

511 E 63rd St
Savannah, GA 31405
Phone (404) 565-2266

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1003240631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE #403",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-815-6999",
            "fax_number": "843-815-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE #403",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-815-6999",
            "fax_number": "843-815-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDEA",
        "first_name": "TORY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.