Rincon Roots Pediatric Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

RINCON ROOTS PEDIATRIC THERAPY, LLC

Practice address

409 S Laurel St
Springfield, GA 31329-9261

Phone

(620) 490-0098

NPI assigned

Jul 1, 2026

Organization subpart

No

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

Authorized official

Name

Madisson Jesse, M.S. CCC-SLP

Title

Acting Manager/Owner

Phone

(620) 490-0098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1245157239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 E GWINNETT ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314042530",
            "telephone_number": "620-490-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S LAUREL ST",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313299261",
            "telephone_number": "620-490-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON ROOTS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "JESSE",
        "authorized_official_first_name": "MADISSON",
        "authorized_official_title_or_position": "ACTING MANAGER/OWNER",
        "authorized_official_telephone_number": "620-490-0098",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Springfield, GA
• Providers in Springfield, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.