Active NPI
Greenville Bilingual Therapy
- Hearing and Speech Clinic/Center
- Greenville, SC
National Provider Identifier
1124433883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 5111
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1415 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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
- Greenville Age Management Medical Institute, LLC
- Greenville Anesthesiology, PA
- Greenville Aph, LLC
- Greenville ASC LLC
- Greenville Avenue Dentistry, PC
- Greenville Colon & Rectal Assoc PA
- Greenville Community Healthcare, LLC
- Greenville County Commission on Alcohol and Drug Abuse
- Greenville County Commission on Alcohol and Drug Abuse
- Greenville County Disabilities and Special Needs Board
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.