NPIMap

Organization Active NPI

Speakeasy Therapy Factory Speech Language and Swallowing Services, LLC

  • Speech-Language Pathologist
  • Blythewood, SC
National Provider Identifier
1376080812
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SC 5079 Issued in SC
Legal business name
SPEAKEASY THERAPY FACTORY SPEECH LANGUAGE AND SWALLOWING SERVICES, LLC
Practice address
344 View Dr
Blythewood, SC 29016-7252
Phone
(704) 780-0211
Fax
(803) 470-4709
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Mrs. Lateka Kegler- Taylor, M.A., CCC- SLPNPI 1740543792
Title
Speech- Language Pathologist
Phone
(704) 780-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SC 5079 SC Primary
Early Intervention Provider Agency 252Y00000X SC 5079 SC

Addresses

Primary practice location

344 View Dr
Blythewood, SC 29016-7252

Mailing address

344 View Dr
Blythewood, SC 29016-7252
Phone (704) 780-0211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1376080812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 VIEW DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167252",
            "telephone_number": "704-780-0211",
            "fax_number": "803-470-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 VIEW DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167252",
            "telephone_number": "704-780-0211",
            "fax_number": "803-470-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY THERAPY FACTORY SPEECH LANGUAGE AND SWALLOWING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "KEGLER- TAYLOR",
        "authorized_official_first_name": "LATEKA",
        "authorized_official_title_or_position": "SPEECH- LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-780-0211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC- SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SC 5079",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "SC 5079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.