Individual provider Active NPI

Amanda Ann Houseman

  • Speech-Language Pathologist
  • Bluffton, SC
National Provider Identifier
1942738869
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
254 Red Cedar St Ste 9
Bluffton, SC 29910-8967
Phone
(843) 970-2899
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 6426 SC
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

254 Red Cedar St Ste 9
Bluffton, SC 29910-8967

Mailing address

68 Bridgewater Dr
Bluffton, SC 29910-6143
Phone (158) 578-6763

Other identifiers 1

IdentifierTypeStateIssuer
SA2018MedicaidSC

Other names 1

  • Amanda Ann Wright Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahouseman@lowcountrytherapy.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030001781 SC Practitioner - Qualified Speech Language Pathologist 7012260557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MP Speech TherapyGroup PAC ID 9335525443, 3 clinicians

Practice addresses (Care Compare)

1 Marianna Way
Unit 102
Bluffton, SC 29910-9072
Phone (302) 584-4740

52 9TH Ave
Bluffton, SC 29910-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Island Rehabilitation, PA CurrentSince Sep 20, 2018 Accepting new patients
MP Speech Therapy Speech-Language Pathologist CurrentSince Feb 1, 2025 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Speech-Language Pathologist CurrentSince Jun 1, 2020 Accepting new patients
Sea Island Healthcare, LLC PastSince Sep 20, 2018 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

109 Old Salem Rd
Beaufort, SC 29902
Phone (843) 310-9690

1195 May River Rd
Unit A
Bluffton, SC 29910
Phone (302) 584-4740

1 Marianna Way
Unit 102
Bluffton, SC 29910
Phone (302) 584-4740

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1942738869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BRIDGEWATER DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106143",
            "telephone_number": "158-578-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 RED CEDAR ST STE 9",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108967",
            "telephone_number": "843-970-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEMAN",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6426",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA2018",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahouseman@lowcountrytherapy.org",
            "affiliation": "N",
            "address_1": "254 Red Cedar St Ste 9",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299108967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WRIGHT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.