Professional Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2633 Issued in SC

Legal business name

PROFESSIONAL THERAPY SERVICES, LLC

Practice address

895 Coleman Ave
Orangeburg, SC 29115-3742

Phone

(803) 268-2743

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Nikki CarrNPI 1750504999

Title

Owner

Phone

(803) 268-2743

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nikki Carr

  • Speech-Language Pathologist
  • Orangeburg, SC
  • NPI 1750504999
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730302985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 COLEMAN AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 COLEMAN AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153742",
            "telephone_number": "803-268-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-268-2743"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3923",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Blair Priester, CPSS
• Willie L Priester, LMSW
• Teffeny Alisa Prince, MA, CCC-SLP
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• Speech-Language Pathologist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.