Active NPI
Meghan Joelle Wylie
- Speech-Language Pathologist
- Charleston, WV
National Provider Identifier
1225636517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2144
- Practice address
- 1015 Oakhurst Dr
Charleston, WV 25314-2049 - Phone
- (304) 345-8101
- NPI assigned
- Oct 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2144 | WV | Primary |
Addresses
Primary practice location
1015 Oakhurst Dr
Charleston, WV 25314-2049
Mailing address
5941 Nathan Rd Apt 2
Huntington, WV 25705-2250
Phone (765) 499-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2144 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapy Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1015 Oakhurst Dr
Charleston, WV 25314
Phone (304) 345-8101
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Charleston, WV
- NPI 1962410605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1225636517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 NATHAN RD APT 2",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052250",
"telephone_number": "765-499-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 OAKHURST DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142049",
"telephone_number": "304-345-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLIE",
"first_name": "MEGHAN",
"middle_name": "JOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-2144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.