Active NPI
Boylston Rehab Services, LLC
- Speech-Language Pathologist
- Columbia, SC
National Provider Identifier
1457553083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 252
- Legal business name
- BOYLSTON REHAB SERVICES, LLC
- Practice address
- 8 Summit PL
Columbia, SC 29204-2401 - Phone
- (803) 799-0077
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eula Wofford Boylston, M.ED., CCC-SLP
- Title
- Owner
- Phone
- (803) 799-0077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 252 | SC | Primary |
Addresses
Primary practice location
8 Summit PL
Columbia, SC 29204-2401
Mailing address
8 Summit PL
Columbia, SC 29204-2401
Phone (803) 799-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1999 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Columbia, SC
- NPI 1477828440
-
- Speech-Language Pathologist
- Columbia, SC
- NPI 1104049758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457553083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SUMMIT PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042401",
"telephone_number": "803-799-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SUMMIT PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042401",
"telephone_number": "803-799-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYLSTON REHAB SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOYLSTON",
"authorized_official_first_name": "EULA",
"authorized_official_middle_name": "WOFFORD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-799-0077",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1999",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.