Organization Active NPI

Speech Swallowing and Neurological Rehabilitation PLLC

  • Speech-Language Pathologist
  • Tyler, TX
National Provider Identifier
1083261952
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH SWALLOWING AND NEUROLOGICAL REHABILITATION PLLC
Practice address
7282 Crosswater Ste 100
Tyler, TX 75703-0659
Phone
(903) 871-5712
Fax
(903) 309-1035
NPI assigned
Aug 24, 2019
Last updated
Aug 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Authorized official

Name
Meaghan Meredith Arnold, CCC-SLPNPI 1134608995
Title
Speech Language Pathologist
Phone
(408) 506-1356

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 Pathologist 235Z00000X Primary

Addresses

Primary practice location

7282 Crosswater Ste 100
Tyler, TX 75703-0659

Mailing address

7282 Crosswater Ste 100
Tyler, TX 75703-0659
Phone (903) 871-5712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191118001310 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052743788 Receives reassigned benefits from 5 practitioners
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

1101 E Southeast Loop 323
Ste 175
Tyler, TX 75701
Phone (903) 871-5712

3400 G E Dr
Tyler, TX 75701
Phone (903) 218-2238

Practitioners & affiliated clinicians

Practitioners 7

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": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1083261952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 CROSSWATER STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030659",
            "telephone_number": "903-871-5712",
            "fax_number": "903-309-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 CROSSWATER STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030659",
            "telephone_number": "903-871-5712",
            "fax_number": "903-309-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH SWALLOWING AND NEUROLOGICAL REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "408-506-1356",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; 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.