Active NPI
Katherin Oigbokie
- Speech-Language Pathologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109757
- Practice address
- 20658 Stone Oak Pkwy Unit 101
San Antonio, TX 78258-7361 - Phone
- (210) 876-5282
- Fax
- (210) 864-2199
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109757 | TX | Primary |
Addresses
Primary practice location
20658 Stone Oak Pkwy Unit 101
San Antonio, TX 78258-7361
Mailing address
20658 Stone Oak Pkwy Unit 101
San Antonio, TX 78258-7361
Phone (210) 876-5282
Other practice location 1
20770 US Highway 281 N Ste 108-166
San Antonio, TX 78258-7655
Phone (210) 876-5282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4310906 | Medicaid | TX |
Other names 1
- Katherin Clarke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, CA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40090 | CA | MD | Physical Therapist |
| 109757 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702
325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696
204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828
363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214
Organizations & group practices 2
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
- Austin, TX
- NPI 1649875857
CA, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1063837516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20658 STONE OAK PKWY UNIT 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587361",
"telephone_number": "210-876-5282",
"fax_number": "210-864-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20658 STONE OAK PKWY UNIT 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587361",
"telephone_number": "210-876-5282",
"fax_number": "210-864-2199"
}
],
"practiceLocations": [
{
"address_1": "20770 US Highway 281 N Ste 108-166",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782587655",
"country_code": "US",
"telephone_number": "210-876-5282",
"fax_number": "210-864-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OIGBOKIE",
"first_name": "KATHERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4310906",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERIN",
"last_name": "CLARKE",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.