Organization Active NPI

Greenville Bilingual Therapy

  • Hearing and Speech Clinic/Center
  • Greenville, SC
National Provider Identifier
1124433883
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
5111 Issued in SC
Legal business name
GREENVILLE BILINGUAL THERAPY
Practice address
511 Fulton CT
Greenville, SC 29615-4480
Phone
(864) 361-4879
Fax
(972) 616-5203
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Julia Mari-Colon
Title
Speech Language Pathologist
Phone
(864) 361-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 5111 SC Primary

Addresses

Primary practice location

511 Fulton CT
Greenville, SC 29615-4480

Mailing address

511 Fulton CT
Greenville, SC 29615-4480
Phone (864) 361-4879

Other identifiers 1

IdentifierTypeStateIssuer
SA1415MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1124433883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 FULTON CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154480",
            "telephone_number": "864-361-4879",
            "fax_number": "972-616-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 FULTON CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154480",
            "telephone_number": "864-361-4879",
            "fax_number": "972-616-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE BILINGUAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "MARI-COLON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "864-361-4879"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "SC",
            "license": "5111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1415",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.