Jodi Boylen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7512 Issued in SC

Practice address

412 Bridge Crossing Dr
Simpsonville, SC 29681-4582

Phone

(561) 660-4265

NPI assigned

Jan 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dynamic Speech Solutions LLC

  • Speech-Language Pathologist
  • Simpsonville, SC
  • NPI 1770316986
  NPD Authorized official
• Premier Pediatric Therapy, P.a.

  • Speech-Language Pathologist
  • Jupiter, FL
  • NPI 1114360039
  NPD (past)
• Teamup Therapy LLC

  • Speech-Language Pathologist
  • Valdosta, GA
  • NPI 1588358642
  NPD (past)

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1134586498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 BRIDGE CROSSING DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814582",
            "telephone_number": "561-660-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 BRIDGE CROSSING DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814582",
            "telephone_number": "561-660-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLEN",
        "first_name": "JODI",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boutwell Dental, LLC
• Joanna Lea Boutwell, DDS
• Eathel L. Bowen, R.PH.
• Gertrude Norton Boxall, N.P.
• Monique Leekam Boyd, NP-C
• Chad Sloan Bracey
• Robert Littleton Bradley, EDD, ATC
• Charles Wade Brainard, PHARMD
• Branch of Hope Counseling, LLC
• Shane Branham, PHARMD

• All providers in Simpsonville, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.