Active NPI
Shelley Tucker Hortman, M.S., CCC-SLP
- Speech-Language Pathologist
- Montgomery, TX
National Provider Identifier
1215255708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104316
- Practice address
- 15949 Highway 105 W
Ste 52 a
Montgomery, TX 77356-5738 - Phone
- (936) 588-5008
- Fax
- (936) 588-1011
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104316 | TX | Primary |
Addresses
Primary practice location
15949 Highway 105 W
Ste 52 a
Montgomery, TX 77356-5738
Mailing address
15949 Highway 105 W
Ste 52 a
Montgomery, TX 77356-5738
Phone (936) 588-5008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104316 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STS International LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Montgomery, TX
- NPI 1902983810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1215255708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15949 HIGHWAY 105 W",
"address_2": "STE 52 A",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773565738",
"telephone_number": "936-588-5008",
"fax_number": "936-588-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15949 HIGHWAY 105 W",
"address_2": "STE 52 A",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773565738",
"telephone_number": "936-588-5008",
"fax_number": "936-588-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTMAN",
"first_name": "SHELLEY",
"middle_name": "TUCKER",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.