Individual provider Active NPI

Bethany Lynn Manning, CCC-SLP

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1750535803
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006524 Issued in GA
Practice address
111 Penrose Dr
Savannah, GA 31410-1218
Phone
(912) 844-4583
NPI assigned
Nov 14, 2008
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X GA
Occupational Therapist 225X00000X GA
Speech-Language Pathologist 235Z00000X SLP006524 GA Primary

Addresses

Primary practice location

111 Penrose Dr
Savannah, GA 31410-1218

Mailing address

111 Penrose Dr
Savannah, GA 31410-1218
Phone (912) 844-4583

Other practice location 1

200 Governor Treutlen Rd Ste 2
Pooler, GA 31322-3408
Phone (912) 356-4200

Other identifiers 2

IdentifierTypeStateIssuer
12072367OtherGAAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
SLP006524OtherGASTATE OF GEORGIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP006524GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonlight Therapy LLC Multi-Specialty PastSince Aug 17, 2025 Accepting new patients
Sonshine Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1750535803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PENROSE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101218",
            "telephone_number": "912-844-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENROSE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101218",
            "telephone_number": "912-844-4583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Governor Treutlen Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313223408",
            "country_code": "US",
            "telephone_number": "912-356-4200",
            "fax_number": "912-642-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "12072367",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA",
            "identifier": "SLP006524",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.