NPIMap

Organization Active NPI

Mylestones Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1225322498
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104661 Issued in TX
Legal business name
MYLESTONES PEDIATRIC THERAPY, PLLC
Practice address
4522 Fredericksburg Rd
Ste. a-45
San Antonio, TX 78201-6521
Phone
(210) 735-7968
Fax
(210) 735-7969
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mr. Alberto Cavazos And Wendy T. Stengel
Title
Managing Partners
Phone
(210) 735-6978

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 109927 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 104661 TX Primary

Addresses

Primary practice location

4522 Fredericksburg Rd
Ste. a-45
San Antonio, TX 78201-6521

Mailing address

4522 Fredericksburg Rd
Ste. a-45
San Antonio, TX 78201-6521
Phone (210) 735-7968

National Provider Directory

National Provider Directory

Locations

4522 Fredericksburg Rd
Ste A45
San Antonio, TX 78201
Phone (210) 735-7968

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1225322498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "STE. A-45",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "210-735-7968",
            "fax_number": "210-735-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "STE. A-45",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "210-735-7968",
            "fax_number": "210-735-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLESTONES PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "WENDY T. STENGEL",
        "authorized_official_first_name": "ALBERTO CAVAZOS",
        "authorized_official_middle_name": "AND",
        "authorized_official_title_or_position": "MANAGING PARTNERS",
        "authorized_official_telephone_number": "210-735-6978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109927",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.