NPIMap

Organization Active NPI

Impactful Speech Therapy PLLC

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1174267744
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
IMPACTFUL SPEECH THERAPY PLLC
Practice address
7537 Sweet Meadows Dr
Fort Worth, TX 76123-1970
Phone
(817) 423-4270
NPI assigned
Apr 20, 2022
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Ms. Shatonya N Pickens, MEDNPI 1134424740
Title
Speech Language Pathologist
Phone
(817) 201-1013

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 NU Primary

Addresses

Primary practice location

7537 Sweet Meadows Dr
Fort Worth, TX 76123-1970

Mailing address

7537 Sweet Meadows Dr
Fort Worth, TX 76123-1970
Phone (817) 423-4270

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1174267744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 SWEET MEADOWS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231970",
            "telephone_number": "817-423-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 SWEET MEADOWS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231970",
            "telephone_number": "817-423-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTFUL SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "SHATONYA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "817-201-1013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.