Organization Active NPI

Therapy Spot LLC

  • Speech-Language Pathologist
  • Statesboro, GA
National Provider Identifier
1083996755
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005494 Issued in GA
Legal business name
THERAPY SPOT LLC
Practice address
518 Gentilly Rd
Statesboro, GA 30458-5149
Phone
(912) 681-7768
Fax
(912) 681-7782
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Lea B Lanier, SLPNPI 1477889921
Title
Member
Phone
(912) 681-7768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005494 GA Primary

Addresses

Primary practice location

518 Gentilly Rd
Statesboro, GA 30458-5149

Mailing address

518 Gentilly Rd
Statesboro, GA 30458-5149
Phone (912) 681-7768

National Provider Directory

National Provider Directory

Locations

518 Gentilly Rd
Statesboro, GA 30458
Phone (912) 541-6550

508 Gentilly Rd
Statesboro, GA 30458
Phone (912) 661-1900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1083996755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 GENTILLY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585149",
            "telephone_number": "912-681-7768",
            "fax_number": "912-681-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 GENTILLY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585149",
            "telephone_number": "912-681-7768",
            "fax_number": "912-681-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "912-681-7768",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.