Mary Garavaglia, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12360 Issued in NC

Practice address

110 Kingston Cir
Goldsboro, NC 27530-7756

Phone

(512) 679-5621

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, CA, OR3 enrollments

Enrollment records 3

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Broad River Rehabilitation

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400

  Speech-Language Pathologist

  Medicare reassignment NPD
• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  CA, NC

  Medicare reassignment NPD
• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  OR

  Medicare reassignment NPD
• Amr Therapy Services, Inc

  • Physical Therapy Clinic/Center
  • Goldsboro, NC
  • NPI 1265243075
  NPD Authorized official
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD
• Kidtherapy, PLLC

  • Pediatric Physical Therapist
  • Austin, TX
  • NPI 1124213046

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1730636754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSTON CIR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275307756",
            "telephone_number": "512-679-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSTON CIR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275307756",
            "telephone_number": "512-679-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAVAGLIA",
        "first_name": "MARY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "12136977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "12360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Full of Joy Homes,LLC.
• Anthony Clark Gaither, M.D.
• Pattrick Scott Gallagher, D.C.
• Amy Smith Galloway, PT
• Barbara Partin Galloway
• Gilbert J Garcia, M.D.
• Jose Luis Garcia Jr.
• Mary Carole Gardner
• Lonieka Garner
• Kristin Garrison

• Speech-Language Pathologist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.