Organization Active NPI

Magnolia Speech and Language Therapy, PLLC

  • Speech-Language Pathologist
  • Pflugerville, TX
National Provider Identifier
1023777505
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC
Practice address
4120 Tin Taqel Path
Pflugerville, TX 78660-4851
Phone
(845) 926-2525
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Megan Martin, CCC-SLPNPI 1982112363
Title
Owner, Speech Language Pathologist
Phone
(512) 883-0504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4120 Tin Taqel Path
Pflugerville, TX 78660-4851

Mailing address

4120 Tin Taqel Path
Pflugerville, TX 78660-4851
Phone (845) 926-2525

Other identifiers 1

IdentifierTypeStateIssuer
1982112363MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1023777505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 TIN TAQEL PATH",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604851",
            "telephone_number": "845-926-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 TIN TAQEL PATH",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604851",
            "telephone_number": "845-926-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "512-883-0504",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982112363",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.