Individual provider Active NPI

Terry Te, M. ED. CCC-SLP

  • Speech-Language Pathologist
  • Shelby, NC
National Provider Identifier
1174973176
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14584 Issued in NC
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

Updated by the provider on May 12, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220124002195 NC Practitioner - Qualified Speech Language Pathologist 8729470745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24128CAMDClinical Psychologist
14584NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
O.a.T. Group, PLLC Speech-Language Pathologist CurrentSince May 14, 2023 Accepting new patients
Kidology, Inc CurrentSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.