Capital City Therapy Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2606 Issued in SC

Legal business name

CAPITAL CITY THERAPY GROUP, LLC

Practice address

100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316

Phone

(803) 467-8596

Fax

(803) 356-0468

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By 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

Mrs. Christine Speegle, OT

Title

Owner

Phone

803804791758

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1942599089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD CHEROKEE RD",
            "address_2": "SUITE F, BOX 172",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729316",
            "telephone_number": "803-467-8596",
            "fax_number": "803-356-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD CHEROKEE RD",
            "address_2": "SUITE F, BOX 172",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729316",
            "telephone_number": "803-467-8596",
            "fax_number": "803-356-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "SPEEGLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803804791758",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "2606",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0661",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1349",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lexington, SC
• Providers in Lexington, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.