Active NPI
Blythewood Speech Therapy
- Speech-Language Pathologist
- Blythewood, SC
National Provider Identifier
1689291783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BLYTHEWOOD SPEECH THERAPY
- Practice address
- 156 Coatbridge Dr
Blythewood, SC 29016-9168 - Phone
- (803) 404-1175
- NPI assigned
- Jul 6, 2020
- Last updated
- Jul 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassandra Ford, SLP
- Title
- Owner
- Phone
- (803) 404-1175
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
156 Coatbridge Dr
Blythewood, SC 29016-9168
Mailing address
156 Coatbridge Dr
Blythewood, SC 29016-9168
Phone (803) 404-1175
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Blythewood, SC
- NPI 1255825915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1689291783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 COATBRIDGE DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169168",
"telephone_number": "803-404-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 COATBRIDGE DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169168",
"telephone_number": "803-404-1175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLYTHEWOOD SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-404-1175",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blythewood, SC
- Clarissa Bennett, MA CCC-SLP
- Djaris Benson
- BJM Transportation LLC
- Blythewood Professional Drug Company (Blythewood Pharmacy and Home Medical Equipment)
- Blythewood Professional Drug Company (Blythewood Pharmacy and Home Medical Equipment)
- Julie Moore Bower, D.P.T.
- Caitlin Williams Boyles, DPT
- Edward Demond Bracey
- Lisa Lynette Brailey, LPN
- Brice's Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.