Active NPI
Idalisa Denise Reyes, M.S., CF-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1114883550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 124681
- Practice address
- 12407 Hymeadow Dr
Austin, TX 78750-1818 - Phone
- (737) 290-1990
- NPI assigned
- Dec 30, 2025
- 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 | 124681 | TX | Primary |
Addresses
Primary practice location
12407 Hymeadow Dr
Austin, TX 78750-1818
Mailing address
13937 Bee St
Farmers Branch, TX 75234-3473
Phone (469) 474-5713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124681 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Consolidated Rehab LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- San Marcos, TX
- NPI 1023328192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1114883550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 BEE ST",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752343473",
"telephone_number": "469-474-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12407 HYMEADOW DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501818",
"telephone_number": "737-290-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "IDALISA",
"middle_name": "DENISE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "124681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.