Organization Active NPI

Palmetto Professional Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Gable, SC
National Provider Identifier
1376991687
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2233 Issued in SC
Legal business name
PALMETTO PROFESSIONAL SPEECH THERAPY SERVICES LLC
Practice address
1723 Garland Rd
Gable, SC 29051-9662
Phone
(803) 460-3297
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Mrs. Kerri Powell Duncan, MSP, CCC-SLPNPI 1831194430
Title
Speech-Language Pathologist
Phone
(803) 460-3297

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2233 SC Primary

Addresses

Primary practice location

1723 Garland Rd
Gable, SC 29051-9662

Mailing address

1723 Garland Road
Gable, SC 29051
Phone (803) 460-3297

National Provider Directory

National Provider Directory

Locations

644 Bultman Dr
Sumter, SC 29150
Phone (803) 774-0228

Practitioners & affiliated clinicians

Practitioners 4

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": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1376991687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 GARLAND ROAD",
            "city": "GABLE",
            "state": "SC",
            "postal_code": "29051",
            "telephone_number": "803-460-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 GARLAND RD",
            "city": "GABLE",
            "state": "SC",
            "postal_code": "290519662",
            "telephone_number": "803-460-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PROFESSIONAL SPEECH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-460-3297",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSP, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gable, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.