Individual provider Active NPI

Abbey Garcia

  • Speech-Language Pathologist
  • Ladson, SC
National Provider Identifier
1457916728
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4571 Issued in SC
Practice address
3851 Commercial Center Drive
Ladson, SC 29456
Phone
(888) 510-6369
Fax
(888) 510-9156
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 4571 SC Primary

Addresses

Primary practice location

3851 Commercial Center Drive
Ladson, SC 29456

Mailing address

3851 Commercial Center Drive
Ladson, SC 29456
Phone (888) 510-6369

Other identifiers 1

IdentifierTypeStateIssuer
4571OtherSCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105001370 MO Practitioner - Qualified Speech Language Pathologist 9739679168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potential Therapy Services LLCGroup PAC ID 5890065361, 12 clinicians

Practice addresses (Care Compare)

602 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4571SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Potential Therapy Services LLC CurrentSince Sep 23, 2025 Accepting new patients
Tri-County Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Locations

55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700

2308 N Truman Blvd
Crystal City, MO 63019
Phone (636) 206-6070

602 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-2999

60 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 608-5058

Organizations & group practices 2

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1457916728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 COMMERCIAL CENTER DRIVE",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "29456",
            "telephone_number": "888-510-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 COMMERCIAL CENTER DRIVE",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "29456",
            "telephone_number": "888-510-6369",
            "fax_number": "888-510-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ABBEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4571",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.