Organization Active NPI

MTS Speech & Language Services, Inc

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1336177997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5173 Issued in NC
Legal business name
MTS SPEECH & LANGUAGE SERVICES, INC
Practice address
3609 Turquoise Dr
Durham, NC 27703
Phone
(919) 598-9568
Fax
(919) 598-9568
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mine Neshawn Thornton, M. ED, CCC-SLP
Title
Speech Pathologist/Owner
Phone
(919) 598-9568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5173 NC Primary

Addresses

Primary practice location

3609 Turquoise Dr
Durham, NC 27703

Mailing address

PO Box 52413
Durham, NC 27717
Phone (919) 598-9568

Other identifiers 3

IdentifierTypeStateIssuer
133WCOtherNCBCBSNC
7211011MedicaidNC
7411640MedicaidNC

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336177997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52413",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27717",
            "telephone_number": "919-598-9568",
            "fax_number": "919-598-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 TURQUOISE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27703",
            "telephone_number": "919-598-9568",
            "fax_number": "919-598-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS SPEECH & LANGUAGE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "MINE",
        "authorized_official_middle_name": "NESHAWN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "919-598-9568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. ED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "133WC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211011",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411640",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.