NPIMap

Organization Active NPI

Simply Therapy, P.C.

  • Speech-Language Pathologist
  • Winston Salem, NC
National Provider Identifier
1992087274
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8088 Issued in NC
Legal business name
SIMPLY THERAPY, P.C.
Practice address
3455 Polo Rd
Suite 109
Winston Salem, NC 27106-4859
Phone
(336) 462-7911
Fax
(336) 768-1860
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
N. Amalie Harris, MA, CCC-SLP
Title
Speech Language Pathologist/Owner
Phone
(336) 462-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 8088 NC Primary

Addresses

Primary practice location

3455 Polo Rd
Suite 109
Winston Salem, NC 27106-4859

Mailing address

3455 Polo Rd
Suite 109
Winston Salem, NC 27106-4859
Phone (336) 462-7911

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": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1992087274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 POLO RD",
            "address_2": "SUITE 109",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064859",
            "telephone_number": "336-462-7911",
            "fax_number": "336-768-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 POLO RD",
            "address_2": "SUITE 109",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064859",
            "telephone_number": "336-462-7911",
            "fax_number": "336-768-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "N. AMALIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "336-462-7911",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

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