Individual provider Active NPI

Madison Borowy

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1316422306
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6710 Issued in SC
Practice address
1150 Hungryneck Blvd Ste C342
Mount Pleasant, SC 29464-3484
Phone
(803) 292-7343
NPI assigned
Sep 26, 2018
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6710 SC Primary

Addresses

Primary practice location

1150 Hungryneck Blvd Ste C342
Mount Pleasant, SC 29464-3484

Mailing address

1242 Berry Creek Dr Unit 205
Mount Pleasant, SC 29466-7528
Phone (803) 292-7343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210115000282 SC Practitioner - Qualified Speech Language Pathologist 8022421858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7142SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pattisons D R E a M Academy CurrentSince Jan 12, 2021 Accepting new patients
Accelerated Clinical Laboratories LLC Current Accepting new patients

Locations

721 Wappoo Rd
Charleston, SC 29407
Phone (843) 203-3891

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1316422306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 BERRY CREEK DR UNIT 205",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667528",
            "telephone_number": "803-292-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HUNGRYNECK BLVD STE C342",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643484",
            "telephone_number": "803-292-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROWY",
        "first_name": "MADISON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.