Organization Active NPI

Boomtown Therapy LLC

Doing business as Boomtown Therapy

  • Speech-Language Pathologist
  • Conroe, TX
National Provider Identifier
1083435515
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BOOMTOWN THERAPY LLC
Doing business as
Boomtown Therapy
Practice address
525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212
Phone
(832) 371-7883
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Megan Zigler, CCC-SLP
Title
Company Owner, Founder
Phone
(832) 371-7883

Specialties & licenses 1

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

Addresses

Primary practice location

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212

Mailing address

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212
Phone (832) 371-7883

Other names 1

  • Boomtown Therapy Doing business as

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, 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": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1083435515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD STE 250",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842212",
            "telephone_number": "832-371-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD STE 250",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842212",
            "telephone_number": "832-371-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMTOWN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ZIGLER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "COMPANY OWNER, FOUNDER",
        "authorized_official_telephone_number": "832-371-7883",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boomtown Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.