Progressive Speech Unlimited, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PROGRESSIVE SPEECH UNLIMITED, LLC

Practice address

3924 Ruth St
Augusta, GA 30909-9588

Phone

(706) 394-2304

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Cheryl WillisNPI 1093722407

Title

Owner/Operator

Phone

(706) 394-2304

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Cheryl Y Willis, MS CCC-SLP

  • Speech-Language Pathologist
  • Hephzibah, GA
  • NPI 1093722407
  NPD (past) Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1962112904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 COLUMBIA RD STE 5",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 RUTH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099588",
            "telephone_number": "706-394-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPEECH UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "706-394-2304"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cheryl.willis@progressivetherapy.co",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4115 Columbia Rd Ste 5",
            "city": "Martinez",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309070410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.