Individual provider Active NPI

Abigail McMinn

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1144865569
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003176 Issued in NC
Practice address
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone
(910) 679-8385
NPI assigned
Nov 8, 2019
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30003176 NC Primary
Behavior Technician 106S00000X RBT-19-104978 HI

Addresses

Primary practice location

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256

Mailing address

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009004407 NC Practitioner - Qualified Speech Language Pathologist 2567994957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians
Coastline Therapy Group, LLCGroup PAC ID 5799023826, 17 clinicians

Practice addresses (Care Compare)

104 Towerview CT
Cary, NC 27513-3595
Phone (984) 477-0803

3901 Wrightsville Ave
Suite 120
Wilmington, NC 28403-6256
Phone (910) 679-8385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-104978HIMDBehavior Technician
30003176NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Nov 20, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Nov 20, 2025 Accepting new patients
Coastline Therapy Group, LLC Speech-Language Pathologist CurrentSince Jul 14, 2024 Accepting new patients
Ivy North Carolina ABA, LLC Past Accepting new patients
Coastal Speech and Reading Center Speech-Language Pathologist Past Accepting new patients

Locations

311 S McNeil St
Ste 101
Burgaw, NC 28425

104 Towerview Ct
Cary, NC 27513
Phone (984) 477-0803

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

3901 Wrightsville Ave
Ste 120
Wilmington, NC 28403

4130 Oleander Dr
Ste 101
Wilmington, NC 28403

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1144865569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 WRIGHTSVILLE AVE STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 WRIGHTSVILLE AVE STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036256",
            "telephone_number": "910-679-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003176",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-19-104978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.