Active NPI
Orange Grove Elementary Charter School
- Speech-Language Pathologist
- Charleston, SC
National Provider Identifier
1255565172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 485
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | 1469 | SC | |
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Charleston, SC
- NPI 1780915520
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
- Tochukwu Jude Onyekwelu, MD
- Ophthalmology Associates of Charleston
- Andra Oprisan, MD
- Optimistic Solutions Counseling Services LLC
- Oral & Maxillofacial Surgery Associates of Charleston
- Orange Grove Healthcare, Inc.
- Breanna Orcutt, DO
- James Michael Orcutt, M.D.
- Collins Onyeka Ordiah, MBBS, MPH
- Jordan Organ, PSYD
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.