Organization Active NPI

Sprouting Therapy Services, PLLC

  • Speech-Language Pathologist
  • Fairmont, NC
National Provider Identifier
1548056260
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPROUTING THERAPY SERVICES, PLLC
Practice address
6036 Iona Church Rd
Fairmont, NC 28340-8489
Phone
(910) 827-0654
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Winona Oxendine, MS, CCC-SLP
Title
Owner
Phone
(910) 827-0654

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

6036 Iona Church Rd
Fairmont, NC 28340-8489

Mailing address

6036 Iona Church Rd
Fairmont, NC 28340-8489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1548056260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 IONA CHURCH RD",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283408489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 IONA CHURCH RD",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283408489",
            "telephone_number": "910-827-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTING THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "OXENDINE",
        "authorized_official_first_name": "WINONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-827-0654",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.