NPIMap

Organization Active NPI

Small Steps Pediatric Speech Therapy,LLC

  • Speech-Language Pathologist
  • Rincon, GA
National Provider Identifier
1184018731
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALL STEPS PEDIATRIC SPEECH THERAPY,LLC
Practice address
5877 Hwy 21 S
Rincon, GA 31326-5511
Phone
(912) 330-6127
Fax
(912) 335-3848
NPI assigned
Mar 22, 2015
Last updated
Aug 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Authorized official

Name
Amanda Danielle Long, M.ED, CCC-SLPNPI 1144667718
Title
Owner/SLP
Phone
(912) 667-1614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary
Early Intervention Provider Agency 252Y00000X SLP008055 GA

Addresses

Primary practice location

5877 Hwy 21 S
Rincon, GA 31326-5511

Mailing address

PO Box 1220
Rincon, GA 31326-1220
Phone (912) 667-1614

Other practice location 1

6 Gables Dr
Pooler, GA 31322-9693
Phone (912) 667-6468

Other identifiers 2

IdentifierTypeStateIssuer
003340016AMedicaidGA
003134193AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1115 N Columbia Ave
Unit 2
Rincon, GA 31326

5723 Highway 21 S
Rincon, GA 31326
Phone (912) 330-6127

5877 Highway 21 S
Rincon, GA 31326

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788048000000",
    "number": "1184018731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313261220",
            "telephone_number": "912-667-1614",
            "fax_number": "912-335-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 HWY 21 S",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265511",
            "telephone_number": "912-330-6127",
            "fax_number": "912-335-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Gables Dr",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229693",
            "country_code": "US",
            "telephone_number": "912-667-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMALL STEPS PEDIATRIC SPEECH THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-22",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "912-667-1614",
        "authorized_official_credential": "M.ED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "SLP008055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003340016A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134193A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.