Individual provider Active NPI

Dominique Rodriguez

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1013569581
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115754 Issued in TX
Practice address
340 N Sam Houston Pkwy E Ste 199
Houston, TX 77060-3325
Phone
(281) 822-0808
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 115754 TX Primary

Addresses

Primary practice location

340 N Sam Houston Pkwy E Ste 199
Houston, TX 77060-3325

Mailing address

340 N Sam Houston Pkwy E Ste 199
Houston, TX 77060-3325
Phone (281) 822-0808

Other practice location 1

3040 Ruben Torres SR Blvd Ste B
Brownsville, TX 78526-2871
Phone (956) 521-1449

Other practice location 2

5462 Peppermill Run
Brownsville, TX 78526-4314
Phone (956) 572-6854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330002699 TX Practitioner - Qualified Speech Language Pathologist 4981079183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez Speech & Therapy Center Single Specialty CurrentSince Feb 7, 2023 Accepting new patients
Winter Pediatric Therapy LP PastSince Jul 25, 2019 Accepting new patients
M. Winter & Associates Pediatric Therapy Centers, LTD PastSince Jul 25, 2019 Accepting new patients

Locations

3040 Ruben Torres SR Blvd
Ste B
Brownsville, TX 78526
Phone (956) 521-1449

Organizations & group practices 3

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1013569581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE 199",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603325",
            "telephone_number": "281-822-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE 199",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603325",
            "telephone_number": "281-822-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 Ruben Torres SR Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785262871",
            "country_code": "US",
            "telephone_number": "956-521-1449",
            "fax_number": "956-404-0259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5462 Peppermill Run",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264314",
            "country_code": "US",
            "telephone_number": "956-572-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.