Organization Active NPI

Windfall Speech & Language Services PLLC

  • Hearing and Speech Clinic/Center
  • Charlotte, NC
National Provider Identifier
1306590153
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
WINDFALL SPEECH & LANGUAGE SERVICES PLLC
Practice address
4005 Sawmill Trace Dr
Charlotte, NC 28213-4860
Phone
(301) 803-9465
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Mia Courtney MartinNPI 1134556996
Title
Owner
Phone
(301) 803-9465

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

4005 Sawmill Trace Dr
Charlotte, NC 28213-4860

Mailing address

4005 Sawmill Trace Dr
Charlotte, NC 28213-4860
Phone (301) 803-9465

Other names 2

  • Windfall Speech & Language Services PLLC Other name
  • Windfall Speech Language Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028001419 NC Part B Supplier - Clinic/Group Practice 5092248245 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1306590153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 SAWMILL TRACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134860",
            "telephone_number": "301-803-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 SAWMILL TRACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134860",
            "telephone_number": "301-803-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDFALL SPEECH & LANGUAGE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-803-9465"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windfall Speech & Language Services PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Windfall Speech Language Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.