Organization Active NPI

Next Level Advanced Therapy, LLC

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1407437908
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEXT LEVEL ADVANCED THERAPY, LLC
Practice address
303 Plateau Dr
Greenville, NC 27858-9562
Phone
(845) 701-9303
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Laurel Wilsen, CCC-SLPNPI 1598204679
Title
Owner, Speech-Language Pathologist
Phone
(845) 701-9303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

303 Plateau Dr
Greenville, NC 27858-9562

Mailing address

303 Plateau Dr
Greenville, NC 27858-9562
Phone (845) 701-9303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurel@nextleveladvanced.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1407437908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PLATEAU DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589562",
            "telephone_number": "845-701-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PLATEAU DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589562",
            "telephone_number": "845-701-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL ADVANCED THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "WILSEN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "845-701-9303",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurel@nextleveladvanced.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "303 Plateau Dr",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278589562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.