NPIMap

Organization Active NPI

Bowen Wardlaw Speech Therapy, PLLC

Doing business as SA Adult Speech Therapy Neuro and Swallowing Rehab

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1013450113
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110527 Issued in TX
Legal business name
BOWEN WARDLAW SPEECH THERAPY, PLLC
Doing business as
SA Adult Speech Therapy Neuro and Swallowing Rehab
Practice address
9033 Aero St Ste 102
San Antonio, TX 78217-6343
Phone
(901) 619-6487
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Brittney Bowen Wardlaw, MS, CCC-SLPNPI 1649605510
Title
Speech Language Pathologist
Phone
(901) 619-6487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 110527 TX Primary

Addresses

Primary practice location

9033 Aero St Ste 102
San Antonio, TX 78217-6343

Mailing address

9033 Aero St Ste 102
San Antonio, TX 78217-6343

Other names 1

  • SA Adult Speech Therapy Neuro and Swallowing Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

9033 Aero St
Ste 102
San Antonio, TX 78217
Phone (830) 570-4492

9258 Culebra Rd
Ste 115
San Antonio, TX 78251

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1013450113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 AERO ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 AERO ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176343",
            "telephone_number": "901-619-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN WARDLAW SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "WARDLAW",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "BOWEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "901-619-6487",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SA Adult Speech Therapy Neuro and Swallowing Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.