Active NPI
Madison Borowy
- Speech-Language Pathologist
- Mount Pleasant, SC
National Provider Identifier
1316422306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6710
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7142 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pattisons D R E a M Academy | Current | 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.
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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.