Individual provider Active NPI

Molly E Gentry, M/SLP

  • Speech-Language Pathologist
  • Myrtle Beach, SC
National Provider Identifier
1750746467
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20200846 Issued in VA
Practice address
1226 Ambling Way Dr
Myrtle Beach, SC 29579-7524
Phone
(443) 604-7943
NPI assigned
Dec 22, 2015
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 6861 SC
Speech-Language Pathologist 235Z00000X 20200846 VA Primary

Addresses

Primary practice location

1226 Ambling Way Dr
Myrtle Beach, SC 29579-7524

Mailing address

1226 Ambling Way Dr
Myrtle Beach, SC 29579-7524
Phone (443) 604-7943

Other identifiers 1

IdentifierTypeStateIssuer
4978218MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224001614 SC Practitioner - Qualified Speech Language Pathologist 0648790410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Align Speech Therapy and Consulting LLCGroup PAC ID 4981965068, 2 clinicians

Practice addresses (Care Compare)

44 Cottage Dr
Murrells Inlet, SC 29576-7877
Phone (843) 936-0020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6861SCMDPhysical Therapist
20200846VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Speech Therapy and Consulting LLC Speech-Language Pathologist CurrentSince Feb 13, 2025 Accepting new patients

Organizations & group practices 1

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": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1750746467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 AMBLING WAY DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797524",
            "telephone_number": "443-604-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 AMBLING WAY DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797524",
            "telephone_number": "443-604-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MOLLY",
        "middle_name": "E",
        "credential": "M/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6861",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "20200846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978218",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.