Active NPI
Courtney Mathews
- Speech-Language Pathologist
- McKinney, TX
National Provider Identifier
1013239102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008743
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113018 | TX | MD | Social Worker |
| 146008743 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Breakthroughs, PLLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- McKinney, TX
- NPI 1639792013
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.