NPIMap

Organization Active NPI

Speech Inspirations PLLC

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1205466323
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH INSPIRATIONS PLLC
Practice address
4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462
Phone
(919) 285-1647
Fax
(919) 576-1366
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Jessica OrtlerNPI 1477099984
Title
Speech Pathologist
Phone
(724) 317-8557

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462

Mailing address

4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462
Phone (919) 285-1647

Other practice location 1

1924 Cinema Dr
Fuquay Varina, NC 27526-3202
Phone (724) 317-8557

Other practice location 2

814 Shadow Lake Dr
Willow Spring, NC 27592-9138
Phone (724) 317-8557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617002517 NC Part B Supplier - Clinic/Group Practice 4385066547 Receives reassigned benefits from 11 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

10844 Providence Rd
Ste 225
Charlotte, NC 28277
Phone (919) 285-1647

4909 Waters Edge Dr
Ste 100C
Raleigh, NC 27606

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1205466323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "919-285-1647",
            "fax_number": "919-576-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "919-285-1647",
            "fax_number": "919-576-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Cinema Dr",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275263202",
            "country_code": "US",
            "telephone_number": "724-317-8557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 Shadow Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Willow Spring",
            "state": "NC",
            "postal_code": "275929138",
            "country_code": "US",
            "telephone_number": "724-317-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECH INSPIRATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "ORTLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "724-317-8557"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.