Fly Away Therapy Corp

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FLY AWAY THERAPY CORP

Practice address

917 E Garcia Cir
Pharr, TX 78577-1822

Phone

(956) 502-1333

Fax

(866) 903-7799

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lupita Alaniz

Title

Ceo

Phone

(956) 502-1333

Specialties & licenses 8

Addresses

Other identifiers 2

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1093358038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 PINE CRK",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785164701",
            "telephone_number": "956-502-1333",
            "fax_number": "866-903-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 E GARCIA CIR",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771822",
            "telephone_number": "956-502-1333",
            "fax_number": "866-903-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY AWAY THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "ALANIZ",
        "authorized_official_first_name": "LUPITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-502-1333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1558669853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1669606000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Flores
• Robert Flores, PHARM.D.
• Rogelio Flores, FNP
• Vanessa Flores
• Marco Tulio Florez, MD
• Hephzibah Beulah Forsac
• Jennifer Frantz, OT
• Frontier Direct Care Pharr
• Fuente de Juventud, Inc.
• Abel Fuentes Jr., MSN, APRN, FNP-BC

• Speech-Language Pathologist in Pharr, TX
• Providers in Pharr, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.