NPIMap

Organization Active NPI

Therapy Consortium Inc.

  • Speech-Language Pathologist
  • Myrtle Beach, SC
National Provider Identifier
1467611756
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THERAPY CONSORTIUM INC.
Practice address
4761 Highway 501
Suite #1
Myrtle Beach, SC 29579-9457
Phone
(843) 455-7505
NPI assigned
Jun 3, 2008
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Andrea Lary, CCCP-SLPNPI 1508824061
Title
President
Phone
(843) 455-7505

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Pediatric Physical Therapist 2251P0200X
Physical Therapy Assistant 225200000X
Pediatric Occupational Therapist 225XP0200X
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

4761 Highway 501
Suite #1
Myrtle Beach, SC 29579-9457

Mailing address

PO Box 1523
Little River, SC 29566-1523

Other identifiers 1

IdentifierTypeStateIssuer
GP3377MedicaidSC

National Provider Directory

National Provider Directory

Locations

4761 Highway 501
Ste 1
Myrtle Beach, SC 29579
Phone (843) 236-9751

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1467611756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295661523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 HIGHWAY 501",
            "address_2": "SUITE #1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295799457",
            "telephone_number": "843-455-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CONSORTIUM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "LARY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-455-7505",
        "authorized_official_credential": "CCCP-SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3377",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.