Organization Active NPI

Orange Grove Elementary Charter School

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1255565172
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
485 Issued in SC
Legal business name
ORANGE GROVE ELEMENTARY CHARTER SCHOOL
Practice address
1225 Orange Branch Rd
Charleston, SC 29407-3336
Phone
(843) 763-1520
Fax
(843) 769-2245
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Mr. Larry Dicenzo
Title
Principal
Phone
(843) 763-1520

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1469 SC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 485 SC Primary

Addresses

Primary practice location

1225 Orange Branch Rd
Charleston, SC 29407-3336

Mailing address

1225 Orange Branch Rd
Charleston, SC 29407-3336
Phone (843) 763-1520

National Provider Directory

National Provider Directory

Locations

1225 Orange Branch Rd
Charleston, SC 29407
Phone (843) 763-1520

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1255565172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 ORANGE BRANCH RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073336",
            "telephone_number": "843-763-1520",
            "fax_number": "843-769-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 ORANGE BRANCH RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073336",
            "telephone_number": "843-763-1520",
            "fax_number": "843-769-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE GROVE ELEMENTARY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "DICENZO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "843-763-1520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "SC",
            "license": "1469",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.