NPIMap

Organization Active NPI

Therapy Korner Pediatric Services

  • Speech-Language Assistant
  • Mission, TX
National Provider Identifier
1184930182
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
33532 Issued in TX
Legal business name
THERAPY KORNER PEDIATRIC SERVICES
Practice address
414 W. Main Ave.
Mission, TX 78574
Phone
(956) 445-3796
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Ms. Modesta Trevino
Title
SLP Assistant
Phone
(956) 445-3796

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 235500000X
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X 33532 TX Primary

Addresses

Primary practice location

414 W. Main Ave.
Mission, TX 78574

Mailing address

414 W. Main Ave.
Mission, TX 78574
Phone (956) 445-3796

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1184930182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W. MAIN AVE.",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-445-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W. MAIN AVE.",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-445-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY KORNER PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "MODESTA",
        "authorized_official_title_or_position": "SLP ASSISTANT",
        "authorized_official_telephone_number": "956-445-3796",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.