Organization Active NPI

GC Therapy Lake City, Inc

  • Speech-Language Pathologist
  • Lake City, FL
National Provider Identifier
1942908686
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GC THERAPY LAKE CITY, INC
Practice address
328 SW Alachua Ave
Lake City, FL 32025-7021
Phone
(386) 438-5864
Fax
(888) 841-9040
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Cynthia Stephens, MA CCC SLPNPI 1598983579
Title
Owner/Member
Phone
(386) 397-4883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

328 SW Alachua Ave
Lake City, FL 32025-7021

Mailing address

1415 Ohio Ave N Unit 177
Live Oak, FL 32064-7960
Phone (386) 397-4883

National Provider Directory

National Provider Directory

Locations

2086 SW Main Blvd
Ste 106
Lake City, FL 32025

1415 Ohio Ave N
Unit 177
Live Oak, FL 32064
Phone (386) 362-8580

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1942908686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OHIO AVE N UNIT 177",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320647960",
            "telephone_number": "386-397-4883",
            "fax_number": "888-841-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 SW ALACHUA AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257021",
            "telephone_number": "386-438-5864",
            "fax_number": "888-841-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC THERAPY LAKE CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "386-397-4883",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.