NPIMap

Organization Active NPI

Speech Therapy Plus, Inc.

  • Speech-Language Pathologist
  • Carolina BCH, NC
National Provider Identifier
1679634083
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5465 Issued in NC
Legal business name
SPEECH THERAPY PLUS, INC.
Doing business as
Speech Therapy Plus, Inc.
Practice address
105 Florida Ave
Unit 2
Carolina BCH, NC 28428-5802
Phone
(252) 633-6770
Fax
(877) 335-6220
NPI assigned
Dec 12, 2006
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Kayse Fields Henry
Title
President
Phone
(252) 717-8005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 4866 NC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5465 NC Primary

Addresses

Primary practice location

105 Florida Ave
Unit 2
Carolina BCH, NC 28428-5802

Mailing address

105 Florida Ave
Unit 2
Carolina BCH, NC 28428-5802
Phone (252) 633-6770

Other identifiers 1

IdentifierTypeStateIssuer
7211527MedicaidNC

Other names 1

  • Speech Therapy Plus, Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1679634083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FLORIDA AVE",
            "address_2": "UNIT 2",
            "city": "CAROLINA BCH",
            "state": "NC",
            "postal_code": "284285802",
            "telephone_number": "252-633-6770",
            "fax_number": "877-335-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FLORIDA AVE",
            "address_2": "UNIT 2",
            "city": "CAROLINA BCH",
            "state": "NC",
            "postal_code": "284285802",
            "telephone_number": "252-633-6770",
            "fax_number": "877-335-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KAYSE",
        "authorized_official_middle_name": "FIELDS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-717-8005"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4866",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Therapy Plus, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina BCH, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.