Individual provider Active NPI

Courtney Mathews

  • Speech-Language Pathologist
  • McKinney, TX
National Provider Identifier
1013239102
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008743 Issued in IL
Practice address
3900 S Stonebridge Dr Ste 604
McKinney, TX 75070-8051
Phone
(469) 215-7669
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113018 TX
Speech-Language Pathologist 235Z00000X 146008743 IL Primary

Addresses

Primary practice location

3900 S Stonebridge Dr Ste 604
McKinney, TX 75070-8051

Mailing address

1613 Snowdrop Dr
Prosper, TX 75078-9864
Phone (773) 407-6655

Other practice location 1

523 E 41st St
Chicago, IL 60653-2707
Phone (773) 407-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113018TXMDSocial Worker
146008743ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Breakthroughs, PLLC Speech-Language Pathologist CurrentSince May 24, 2020 Accepting new patients

Locations

3900 S Stonebridge Dr
Ste 604
McKinney, TX 75070
Phone (469) 215-7669

1402 S Custer Rd
Ste 903
McKinney, TX 75072
Phone (469) 215-7669

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1013239102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SNOWDROP DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789864",
            "telephone_number": "773-407-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S STONEBRIDGE DR STE 604",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708051",
            "telephone_number": "469-215-7669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606532707",
            "country_code": "US",
            "telephone_number": "773-407-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113018",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.