Active NPI
Carly Plotkin, MA CCC-SLP
- Speech-Language Pathologist
- Matthews, NC
National Provider Identifier
1104487180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002502
- Practice address
- 211 W Matthews St
Matthews, NC 28105-1309 - Phone
- (704) 846-0262
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30002502 | NC | Primary |
Addresses
Primary practice location
211 W Matthews St
Matthews, NC 28105-1309
Mailing address
211 W Matthews St
Matthews, NC 28105-1309
Other practice location 1
8540 Verree Rd
Philadelphia, PA 19111-1399
Phone (215) 342-7660
Other practice location 2
3502 Scotts Ln
Philadelphia, PA 19129-1561
Phone (610) 227-0388
Other practice location 3
7617 Little River Tpke Ste 310
Annandale, VA 22003-2603
Phone (703) 941-7757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30002502 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Services, Inc. | Past | Accepting new patients | |
| Skill Builders, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Skill Builders, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1982752408
-
- Speech-Language Pathologist
- Annandale, VA
- NPI 1073515540
-
- Speech-Language Pathologist
- MC Lean, VA
- NPI 1508059221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1104487180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W MATTHEWS ST",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W MATTHEWS ST",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051309",
"telephone_number": "704-846-0262"
}
],
"practiceLocations": [
{
"address_1": "8540 Verree Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191111399",
"country_code": "US",
"telephone_number": "215-342-7660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3502 Scotts Ln",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191291561",
"country_code": "US",
"telephone_number": "610-227-0388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7617 Little River Tpke Ste 310",
"address_purpose": "LOCATION",
"city": "Annandale",
"state": "VA",
"postal_code": "220032603",
"country_code": "US",
"telephone_number": "703-941-7757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLOTKIN",
"first_name": "CARLY",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30002502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.