Individual provider Active NPI

Carly Plotkin, MA CCC-SLP

  • Speech-Language Pathologist
  • Matthews, NC
National Provider Identifier
1104487180
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002502 Issued in NC
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

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
30002502NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Services, Inc. PastSince Jun 1, 2022 Accepting new patients
Skill Builders, LLC Speech-Language Pathologist PastSince Jul 1, 2021 Accepting new patients
Skill Builders, LLC Speech-Language Pathologist PastSince Jul 1, 2021 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.

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.

Verify at the official NPI Registry.