Individual provider Active NPI

Marcela Padilla, MS., CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1174768030
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106798 Issued in TX
Practice address
2026 Wirt Rd
Suite 103B
Houston, TX 77055-1626
Phone
(201) 213-2461
Fax
(832) 644-0127
NPI assigned
Dec 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106798 TX Primary

Addresses

Primary practice location

2026 Wirt Rd
Suite 103B
Houston, TX 77055-1626

Mailing address

4502 Stackstone LN
Apt 2
Katy, TX 77450-6722
Phone (201) 213-2461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210002063 TX Practitioner - Qualified Speech Language Pathologist 3274858469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
106798TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Speech Services L.L.C. Speech-Language Pathologist CurrentSince Dec 1, 2014 Accepting new patients
Legacy Speech Services L.L.C. Current Accepting new patients

Locations

2026 Wirt Rd
Ste 103B
Houston, TX 77055
Phone (832) 980-7061

633 E Fernhurst Dr
Ste 604
Katy, TX 77450
Phone (832) 980-7061

Organizations & group practices 2

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": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1174768030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 STACKSTONE LN",
            "address_2": "APT 2",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506722",
            "telephone_number": "201-213-2461",
            "fax_number": "832-644-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 WIRT RD",
            "address_2": "SUITE 103B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551626",
            "telephone_number": "201-213-2461",
            "fax_number": "832-644-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MARCELA",
        "name_prefix": "Mrs.",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-06",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.