Organization Active NPI

Stellar Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • Hurst, TX
National Provider Identifier
1164895595
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100824 Issued in TX
Legal business name
STELLAR PEDIATRIC THERAPY, PLLC
Practice address
225 W Pipeline Rd
Hurst, TX 76053-5620
Phone
(817) 438-2366
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Rhonda Roper Nazzaro, CCC-SLPNPI 1528397361
Title
President/Manager
Phone
(817) 438-2366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100824 TX Primary

Addresses

Primary practice location

225 W Pipeline Rd
Hurst, TX 76053-5620

Mailing address

225 W Pipeline Rd
Hurst, TX 76053-5620
Phone (817) 438-2366

National Provider Directory

National Provider Directory

Locations

225 W Pipeline Rd
Hurst, TX 76053
Phone (817) 438-2366

Practitioners & affiliated clinicians

Practitioners 2

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": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1164895595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W PIPELINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760535620",
            "telephone_number": "817-438-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W PIPELINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760535620",
            "telephone_number": "817-438-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "NAZZARO",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "ROPER",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "817-438-2366",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.