Active NPI
Teach Speech PLLC
- Speech-Language Pathologist
- Concord, NC
National Provider Identifier
1265019699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- TEACH SPEECH PLLC
- Practice address
- 845 Church St N
Concord, NC 28025-4300 - Phone
- (980) 272-8577
- NPI assigned
- Mar 24, 2021
- Last updated
- Nov 6, 2024
- 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
- Kacy Wickerson
- Title
- Owner
- Phone
- (704) 258-7031
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
845 Church St N
Concord, NC 28025-4300
Mailing address
745 NC 24 27 Byp E
Albemarle, NC 28001-5349
National Provider Directory
National Provider DirectoryLocations
745 NC 24 27 Byp E
Albemarle, NC 28001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1831620855
-
- Speech-Language Assistant
- Concord, NC
- NPI 1932922036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1265019699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 NC 24 27 BYP E",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280015349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254300",
"telephone_number": "980-272-8577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEACH SPEECH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-24",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "WICKERSON",
"authorized_official_first_name": "KACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-258-7031"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.