Oak City Speech and Language Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11831 Issued in NC

Legal business name

OAK CITY SPEECH AND LANGUAGE THERAPY, PLLC

Practice address

105 Cooke St
Raleigh, NC 27601-1121

Phone

(919) 607-6264

Fax

(919) 336-1180

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Shelby Gaile Potts, M.S. CCC-SLPNPI 1326548587

Title

Speech-Language Pathologist

Phone

(919) 607-6264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Shelby Gaile Potts, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1326548587
  NPD Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1033608963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COOKE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011121",
            "fax_number": "919-336-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COOKE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011121",
            "telephone_number": "919-607-6264",
            "fax_number": "919-336-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CITY SPEECH AND LANGUAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "GAILE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-607-6264",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326548587",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.