Alicia Taylor, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6048 Issued in SC

Practice address

381 Stonewall CT Apt 6207
Mount Pleasant, SC 29464

Phone

(843) 906-6636

NPI assigned

Jan 30, 2017

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

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Imagine Physical Therapy on Daniel Island LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
  • NPI 1972770733
  NPD

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1386181204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 STONEWALL CT APT 6207",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647997",
            "telephone_number": "843-906-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 STONEWALL CT APT 6207",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-906-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALICIA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney J Tapp, MA
• Sami Paul Tarabishy, MD
• Karen Lynn Tarpey, MSW
• Kaylee Jayanne Tate, MS OTR/L
• Sara S Tavares, PT, MSR, NCS
• Amanda Grace Oswald Taylor, FNP-C
• Jaclyn Taylor
• Jessica Taylor
• Margaret Moss Taylor, M.ED. LPC
• Steven James Taylor, MD

• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Jun 26, 2018; 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.