NPIMap

Organization Active NPI

Greenlock Therapeutic Riding Center

  • Speech-Language Pathologist
  • Rehoboth, MA
National Provider Identifier
1053446989
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GREENLOCK THERAPEUTIC RIDING CENTER
Practice address
59 Summer St
Rehoboth, MA 02769-2221
Phone
(508) 252-5814
Fax
(508) 252-5814
NPI assigned
Feb 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Edith B. Wislocki
Title
Director
Phone
(508) 252-5814

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

59 Summer St
Rehoboth, MA 02769-2221

Mailing address

55 Summer St
Rehoboth, MA 02769-2221
Phone (508) 252-5814

National Provider Directory

National Provider Directory

Locations

59 Summer St
Rehoboth, MA 02769
Phone (508) 252-5814

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053446989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SUMMER ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692221",
            "telephone_number": "508-252-5814",
            "fax_number": "508-252-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SUMMER ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692221",
            "telephone_number": "508-252-5814",
            "fax_number": "508-252-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLOCK THERAPEUTIC RIDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WISLOCKI",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-252-5814",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.