Organization Active NPI

Speechworks of Aiken, LLC

  • Speech-Language Pathologist
  • Aiken, SC
National Provider Identifier
1629205869
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3097 Issued in SC
Legal business name
SPEECHWORKS OF AIKEN, LLC
Practice address
1415 Lyon Dr SE
Aiken, SC 29801-5119
Phone
(803) 507-1132
Fax
(803) 663-8837
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Mrs. Christine M. Matthews, MA, CCC/SLP
Title
Speech-Language Pathologist
Phone
(803) 507-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3097 SC Primary

Addresses

Primary practice location

1415 Lyon Dr SE
Aiken, SC 29801-5119

Mailing address

1415 Lyon Dr SE
Aiken, SC 29801-5119
Phone (803) 507-1132

Other identifiers 1

IdentifierTypeStateIssuer
SA0425MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1629205869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LYON DR SE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298015119",
            "telephone_number": "803-507-1132",
            "fax_number": "803-663-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LYON DR SE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298015119",
            "telephone_number": "803-507-1132",
            "fax_number": "803-663-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHWORKS OF AIKEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-507-1132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.