Multidisciplinary Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MULTIDISCIPLINARY THERAPY

Practice address

1612 Marion St Ste 218G
Columbia, SC 29201-2939

Phone

(803) 410-5483

Fax

(803) 250-2651

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Tori Sullivan Leathers, M.A., CCC-SLP

Title

President, Ceo

Phone

(803) 410-5483

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Lankford, OTR/L

  • Occupational Therapist
  • Columbia, SC
  • NPI 1407683659
  NPD
• Tyla Stuckey

  • Speech-Language Pathologist
  • Chapin, SC
  • NPI 1376119859
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1013493162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013451",
            "telephone_number": "803-410-5483",
            "fax_number": "803-250-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MARION ST STE 218G",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "803-410-5483",
            "fax_number": "803-250-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Blanding St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29201",
            "country_code": "US",
            "telephone_number": "803-410-5483",
            "fax_number": "803-250-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MULTIDISCIPLINARY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "LEATHERS",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "SULLIVAN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "803-410-5483",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8479",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa M Mullins, LPC
• Icie Hutcheson Mullis, APRN
• Laura Mullis, APRN
• Lennie Schlager Mullis, LPCI
• Justin Andrew Mullner, MD
• Multidisciplinary Therapy
• Jill Marie Mumford, M.D.
• Adisa Muminovic, PHARMD
• Alicia Muncatchy
• Kaci Michele Mundhenke

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.