Active NPI
Terry Te, M. ED. CCC-SLP
- Speech-Language Pathologist
- Shelby, NC
National Provider Identifier
1174973176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14584
- Practice address
- 227 Pinnacle Xing
Shelby, NC 28152-1062 - Phone
- (678) 964-6814
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24128 | CA | |
| Speech-Language Pathologist | 235Z00000X | 14584 | NC | Primary |
Addresses
Primary practice location
227 Pinnacle Xing
Shelby, NC 28152-1062
Mailing address
227 Pinnacle Xing
Shelby, NC 28152-1062
Phone (678) 964-6814
Other practice location 1
2900 Charlevoix Dr SE
Suite 200
Grand Rapids, MI 49546-7085
Phone (888) 325-8064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24128 | CA | MD | Clinical Psychologist |
| 14584 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O.a.T. Group, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Kidology, Inc | Current | Accepting new patients |
Locations
502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461
1244 N Flint St
Lincolnton, NC 28092
Phone (704) 740-0676
Organizations & group practices 2
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.
-
- Physical Therapist
- Lincolnton, NC
- NPI 1730591991
-
- Speech-Language Pathologist
- Shelby, NC
- NPI 1427744499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1174973176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 PINNACLE XING",
"city": "SHELBY",
"state": "NC",
"postal_code": "281521062",
"telephone_number": "678-964-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 PINNACLE XING",
"city": "SHELBY",
"state": "NC",
"postal_code": "281521062",
"telephone_number": "678-964-6814"
}
],
"practiceLocations": [
{
"address_1": "2900 Charlevoix Dr SE",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495467085",
"country_code": "US",
"telephone_number": "888-325-8064",
"fax_number": "180-032-5132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TE",
"first_name": "TERRY",
"name_prefix": "Miss",
"credential": "M. ED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24128",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.