NPIMap

Organization Active NPI

Venture Rehabilitation Group

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1528135035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
VENTURE REHABILITATION GROUP
Practice address
910 Bremerton Dr
Greenville, NC 27858-6548
Phone
(252) 412-1564
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia R FlyntNPI 1659429280
Title
President
Phone
(252) 412-1564

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

910 Bremerton Dr
Greenville, NC 27858-6548

Mailing address

PO Box 2417
Winterville, NC 28590-2417

Other identifiers 1

IdentifierTypeStateIssuer
7211536MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Venture Rehabilitation Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1913 N Berkeley Blvd
Ste 1
Goldsboro, NC 27534

1425 E Fire Tower Rd
#104
Greenville, NC 27858
Phone (252) 355-5535

3612 Eagle Point Ln
Wilson, NC 27896

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528135035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285902417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BREMERTON DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586548",
            "telephone_number": "252-412-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLYNT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-412-1564"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "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 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.

Verify at the official NPI Registry.