Amanda Matsumoto, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7631 Issued in SC

Practice address

9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034

Phone

(843) 594-3032

Fax

(843) 285-5921

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hears 2 You LLC

  • Audiologist
  • Summerville, SC
  • NPI 1013728716
  NPD
• Palmetto Hearing Care Center, LLC

  dba Palmetto Speech and Occupational Therapy

  • Speech-Language Pathologist
  • Summerville, SC
  • NPI 1750579561
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1306416763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51205",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294851205",
            "telephone_number": "843-594-3032",
            "fax_number": "843-285-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 DORCHESTER RD UNIT 206",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859034",
            "telephone_number": "843-594-3032",
            "fax_number": "843-285-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "AMANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.palmettospot.com",
            "affiliation": "N",
            "address_1": "9730 Dorchester Rd Unit 206",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294859034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julianna Marie Mathewes, FNP
• Joseph Wolfgang Mathews, M.D.
• Marian Katarina Mathis, PA-C
• Mason Reese Mathis III, PHARMD
• Anna Matrachisia, M.D.
• Craig Peter Mauriello, MSW, LMSW
• Kim M Mautz Charpia, MSW
• Madeline Maynor, DPT
• Jillian Jenay Mays
• Joyce Elizabeth Drew Mazur

• Speech-Language Pathologist in Summerville, SC
• Providers in Summerville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.