Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Michaela Dockery Torres, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1083686109

Mrs. Michaela Dockery Torres, MACCCSLP is a Qualified Speech Language Pathologist in Wilmington, North Carolina. Qualified in 2000, 26 years ago. Practices with Ivyrehab North Carolina LLC, a 154-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006
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Practice location Address checks out

3901 Wrightsville Ave
Wilmington, NC 28403-6255
Phone: (910) 679-8385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5623 (NC)

Record details

NPI number1083686109
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedFebruary 2, 2006
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ivyrehab North Carolina Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington