Xanadu Rehabilitation, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24694 Issued in TX

Legal business name

XANADU REHABILITATION, INC.

Practice address

1750 FM 967 Ste a
Buda, TX 78610-2884

Phone

(512) 295-2273

Fax

(512) 295-2280

NPI assigned

Dec 9, 2009

Organization subpart

No

Name

Ms. Amy GrantNPI 1942324280

Title

Co-Owner

Phone

(512) 295-2273

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Grant, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Buda, TX
  • NPI 1942324280
  NPD (past) Authorized official
• Gabriela Carranco, SLP

  • Speech-Language Pathologist
  • Buda, TX
  • NPI 1871194738
  NPD
• Rebecca Compton, MOTR

  • Occupational Therapist
  • Buda, TX
  • NPI 1093487431
  NPD
• Selena Jacquez, OT

  • Occupational Therapist
  • Buda, TX
  • NPI 1396460812
  NPD
• Tara Licon, OTD

  • Occupational Therapist
  • Buda, TX
  • NPI 1255168050
  NPD
• Emily Swogger, OTR/L

  • Occupational Therapist
  • Buda, TX
  • NPI 1134544406
  NPD
• Nicole White, SLP

  • Speech-Language Pathologist
  • Manassas, VA
  • NPI 1396489001
  NPD
• Aubrey Cashner, MOTR

  • Occupational Therapist
  • Buda, TX
  • NPI 1063803708
  NPD (past)
• Angela Saul, MOT

  • Occupational Therapist
  • Buda, TX
  • NPI 1174055396
  NPD (past)
• Latrichielle Sorrells, CCC-SLP

  • Speech-Language Pathologist
  • Buda, TX
  • NPI 1194032961
  NPD (past)
• Kimberly Roseland, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1851619530
  NPD (past)

Locations

• Therapy Center of Buda Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2025.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1124357801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 FM 967 # A",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103461",
            "telephone_number": "512-295-2273",
            "fax_number": "512-295-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FM 967 STE A",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786102884",
            "telephone_number": "512-295-2273",
            "fax_number": "512-295-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Cimarron Park Loop Ste D",
            "address_purpose": "LOCATION",
            "city": "Buda",
            "state": "TX",
            "postal_code": "786102854",
            "country_code": "US",
            "telephone_number": "512-295-2273",
            "fax_number": "512-295-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XANADU REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "512-295-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188455303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188455304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Center of Buda",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapy Center of Buda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Wood Wills, MS, CCC-SLP
• Millicent Wilson, RD, LD
• Keith L Winfield, LCDC
• Brette Wood
• Meagan Wood, CPHT
• Angela P Yang, DDS
• Zhan Yang
• Judi Flor Adlawan Yapias, LPCA
• Kathy Ybanez-Llorente
• David Tehwei Yew, M.D.

• All providers in Buda, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.