Individual provider Active NPI

Amanda Wirthlin, CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1386214450
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14879 Issued in NC
Practice address
7402 Treyburn Dr
Wilmington, NC 28411-7351
Phone
(513) 814-8616
NPI assigned
Jun 30, 2021
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14879 NC Primary

Addresses

Primary practice location

7402 Treyburn Dr
Wilmington, NC 28411-7351

Mailing address

7402 Treyburn Dr
Wilmington, NC 28411-7351
Phone (513) 814-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Speech Therapy & Coaching PLLC Speech-Language Pathologist CurrentSince Jun 8, 2025 Accepting new patients
Ivyrehab North Carolina LLC PastSince Apr 16, 2021 Accepting new patients
Coastal Speech and Reading Center Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1386214450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 TREYBURN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117351",
            "telephone_number": "513-814-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 TREYBURN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117351",
            "telephone_number": "513-814-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTHLIN",
        "first_name": "AMANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.