Individual provider Active NPI

Margo G. Quaglia, M.S. CCC-SP.

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1578190047
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13930 Issued in NC
Practice address
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone
(910) 679-8385
Fax
(910) 679-8387
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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 13930 NC Primary

Addresses

Primary practice location

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256

Mailing address

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone (910) 679-8385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Raise the Bar Therapy Services Speech-Language Pathologist CurrentSince Aug 12, 2024 Accepting new patients
Coastline Therapy Group, LLC Speech-Language Pathologist CurrentSince Apr 16, 2020 Accepting new patients
Coastal Speech and Reading Center Speech-Language Pathologist PastSince Apr 16, 2020 Accepting new patients

Locations

311 S McNeil St
Ste 101
Burgaw, NC 28425

18676 US Highway 17
Ste 10
Hampstead, NC 28443
Phone (910) 821-1700

18676 US Highway 17
Hampstead, NC 28443
Phone (910) 270-4156

3901 Wrightsville Ave
Ste 120
Wilmington, NC 28403

4130 Oleander Dr
Ste 101
Wilmington, NC 28403

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1578190047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 WRIGHTSVILLE AVE STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036256",
            "telephone_number": "910-679-8385",
            "fax_number": "910-679-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 WRIGHTSVILLE AVE STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036256",
            "telephone_number": "910-679-8385",
            "fax_number": "910-679-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAGLIA",
        "first_name": "MARGO",
        "middle_name": "G.",
        "credential": "M.S. CCC-SP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.