NPIMap

Organization Active NPI

Innovative Pediatric Therapy

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1982833893
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4259 Issued in SC
Legal business name
INNOVATIVE PEDIATRIC THERAPY
Practice address
632 White Chapel Cir
Charleston, SC 29412-4351
Phone
(910) 736-1861
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Elizabeth Johnston Smithson, MSP, CCC SLPNPI 1821153495
Title
Owner, Speech Pathologist
Phone
(910) 736-1861

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 4259 SC Primary

Addresses

Primary practice location

632 White Chapel Cir
Charleston, SC 29412-4351

Mailing address

632 White Chapel Cir
Charleston, SC 29412-4351
Phone (910) 736-1861

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1982833893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 WHITE CHAPEL CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124351",
            "telephone_number": "910-736-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 WHITE CHAPEL CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124351",
            "telephone_number": "910-736-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOHNSTON",
        "authorized_official_title_or_position": "OWNER, SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "910-736-1861",
        "authorized_official_credential": "MSP, CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.