Individual provider Active NPI

Elizabeth C Platovsky, MSR, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1679708648
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103727 Issued in TX
Practice address
4612 Annerly CT
Charlotte, NC 28226-3239
Phone
(864) 918-7416
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10181 NC
Speech-Language Pathologist 235Z00000X 103727 TX Primary

Addresses

Primary practice location

4612 Annerly CT
Charlotte, NC 28226-3239

Mailing address

4095 De Zavala Rd
Shavano Park, TX 78249-2066
Phone (210) 493-8100

Other names 1

  • Dorothy Elizabeth Cunningham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224003360 NC Practitioner - Qualified Speech Language Pathologist 5698256014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Prava PCGroup PAC ID 9931620432, 9 clinicians

Practice addresses (Care Compare)

128 S Tryon St
Suite 1920
Charlotte, NC 28202-5001
Phone (877) 472-2261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10181NCMDPhysical Therapist
103727TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reinvent Health Inc CurrentSince Feb 8, 2026 Accepting new patients
Rehab Associates Speech-Language Pathologist Past Accepting new patients

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1679708648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 DE ZAVALA RD",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492066",
            "telephone_number": "210-493-8100",
            "fax_number": "210-493-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 ANNERLY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263239",
            "telephone_number": "864-918-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATOVSKY",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "MSR, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10181",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "CUNNINGHAM",
            "middle_name": "ELIZABETH",
            "credential": "MSR, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.