Antoinette Dominique Pryor, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4382 Issued in SC

Practice address

9325 Blue House Rd Apt 11105
Ladson, SC 29456-4230

Phone

(803) 873-2243

NPI assigned

Jul 18, 2019

Last updated

Oct 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• O.P.a.L.S. Health, LLC

  • Speech-Language Pathologist
  • Ladson, SC
  • NPI 1801441118
  Authorized official Same address or phone
• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • De Witt, NY
  • NPI 1346530169
  NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1336792472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 BLUE HOUSE RD APT 11105",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564230",
            "telephone_number": "803-873-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 BLUE HOUSE RD APT 11105",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564230",
            "telephone_number": "803-873-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "ANTOINETTE",
        "middle_name": "DOMINIQUE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of South Carolina Medical PC (Charleston Health Center)
• Ashley Ann Price, OTR/L
• Pro-Med 1 Inc (Pro Med 1)
• Pruitthealth Home Health, Inc. (PruittHealth Home Health - Charleston)
• Pruitthealth Hospice, Inc. (PruittHealth Hospice - Charleston)
• Ja-Nae Quinones
• Jennie O Reardon, DMD
• Kara Reed, OTD, OTR/L
• Gladys Sujey Reyes, OTR/L
• Brooke Lane Richardson, DPT

• Speech-Language Pathologist in Ladson, SC
• Providers in Ladson, 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 Oct 13, 2019; 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.