Thrive Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THRIVE SPEECH THERAPY LLC

Practice address

1583 Savannah Hwy Ste B
Charleston, SC 29407-7855

Phone

(843) 327-2072

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Anna Mullek, MAS; M.S., CCC-SLP

Title

Speech Language Pathologist

Phone

(854) 205-6755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Anna Mullek Alliss, MAS; M.S., CCC-SLP

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1265123921
  Medicare reassignment Care Compare group NPD
• Kathryn Burns, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1649074188
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1497511877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 SAVANNAH HWY STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077855",
            "telephone_number": "854-205-6755",
            "fax_number": "854-858-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 SAVANNAH HWY STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077855",
            "telephone_number": "843-327-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MULLEK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "854-205-6755",
        "authorized_official_credential": "MAS; M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keara J Thomson
• Lisa Almond Thorndyke, BS PHARM RPH
• Thomas Robnett Thorpe, RRT
• Stephanie Thrall, PHARM.D.
• Veronica Casim Thrasher, NP
• Jill Neumann Tibbetts, PA-C
• Annette D Tickle, RN
• Tidewater Doctors LLC
• Tidewater Doctors LLC
• Tidewater Doctors LLC

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.