NPIMap

Organization Active NPI

Lowcountry Therapy Center, LLC

  • Speech-Language Pathologist
  • Bluffton, SC
National Provider Identifier
1245554104
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LOWCOUNTRY THERAPY CENTER, LLC
Practice address
254 Red Cedar Street, Suite 9
Bluffton, SC 29910-8967
Phone
(843) 970-2899
Fax
(843) 815-6998
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Ms. Jessi Lee Fustos, MA, CCC-SLPNPI 1265670004
Title
Owner
Phone
(732) 762-5572

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 4245 SC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

254 Red Cedar Street, Suite 9
Bluffton, SC 29910-8967

Mailing address

PO Box 2421
Bluffton, SC 29910-8967
Phone (843) 970-2899

Other names 1

  • Lowcountry Therapy Center Other name

National Provider Directory

National Provider Directory

Locations

254 Red Cedar St
Ste 9
Bluffton, SC 29910
Phone (843) 815-6999

29 Plantation Park Dr
Ste 403
Bluffton, SC 29910
Phone (843) 815-6999

1873 N Paris Ave
Port Royal, SC 29935
Phone (843) 815-6999

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1245554104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2421",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108967",
            "telephone_number": "843-970-2899",
            "fax_number": "843-815-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 RED CEDAR STREET, SUITE 9",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108967",
            "telephone_number": "843-970-2899",
            "fax_number": "843-815-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "FUSTOS",
        "authorized_official_first_name": "JESSI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-762-5572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "SC",
            "license": "4245",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Therapy Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lowcountry Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.