Individual provider Active NPI

Theresa Rene Smith

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1144798224
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202009090 Issued in VA
Practice address
2025 Kempsville Rd
Virginia Beach, VA 23464-6805
Phone
(757) 648-3840
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 35605 CA
Speech-Language Pathologist 235Z00000X 115663 TX
Speech-Language Pathologist 235Z00000X 172386 AK
Speech-Language Pathologist 235Z00000X 2202009090 VA Primary

Addresses

Primary practice location

2025 Kempsville Rd
Virginia Beach, VA 23464-6805

Mailing address

14702 Dawn Vale Dr
Houston, TX 77062-2106
Phone (713) 560-3793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250529001622 TX Practitioner - Qualified Speech Language Pathologist 5698294908 Reassigns benefits to 1 organization
I20250602000430 CA Practitioner - Qualified Speech Language Pathologist 5698294908 Reassigns benefits to 1 organization
I20250728003226 VA Practitioner - Qualified Speech Language Pathologist 5698294908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
172386AKMDSpeech-Language Pathologist
35605CAMDSpeech-Language Pathologist
2202009090VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Together Pediatric Therapy, PLLC Speech-Language Pathologist CurrentSince Jul 27, 2020 Accepting new patients
Together Therapy Services, PLLC Speech-Language Pathologist CurrentSince Jan 8, 2023 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jul 7, 2025 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jul 7, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1144798224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14702 DAWN VALE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622106",
            "telephone_number": "713-560-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 KEMPSVILLE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646805",
            "telephone_number": "757-648-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THERESA",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35605",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115663",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "172386",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.