Visio Perspectives Neuro Rehab Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1113 Issued in SC

Legal business name

VISIO PERSPECTIVES NEURO REHAB SERVICES LLC

Practice address

115 S Morris St
Lake City, SC 29560-2459

Phone

(843) 394-3605

Fax

(843) 394-1042

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Betty McKenzie-Smith, CCC/SLP

Title

Ceo/Director

Phone

(843) 394-7617

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Betty McKenzie, SLP

  • Speech-Language Pathologist
  • Lake City, SC
  • NPI 1194926881
  NPD (past)
• James McKinney, PT

  • Physical Therapist
  • Lake City, SC
  • NPI 1568668101
  NPD (past)
• Kacie Adair Oberlin-Carlisle

  • Physical Therapist
  • Charlotte, NC
  • NPI 1306047766
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1659518975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 THURSTON ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602527",
            "telephone_number": "843-394-3605",
            "fax_number": "843-394-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MORRIS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602459",
            "telephone_number": "843-394-3605",
            "fax_number": "843-394-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIO PERSPECTIVES NEURO REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE-SMITH",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "843-394-7617",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SC",
            "license": "1581",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wall Home Medical Equipment, Inc.

• All providers in Lake City, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.