Mt. Pleasant Pediatric Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MT. PLEASANT PEDIATRIC SPEECH THERAPY, LLC

Practice address

3550 Stockton Dr
Mt Pleasant, SC 29466-7028

Phone

(843) 300-2812

NPI assigned

Jul 7, 2015

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annmarie Leahy

Title

Owner

Phone

(843) 300-2812

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 2

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.

• Annmarie Rabal, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1376822452
  NPD
• Kylie Jester

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1417596826
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1891178018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 STOCKTON DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667028",
            "telephone_number": "843-300-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 STOCKTON DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667028",
            "telephone_number": "843-300-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PLEASANT PEDIATRIC SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-300-2812"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376822452",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathleen Mueller, LPC
• Donald Muglia, RPH

• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Jul 21, 2021; 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.