Organization Active NPI

Dynamite Speech Therapy Services

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1225750177
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DYNAMITE SPEECH THERAPY SERVICES
Practice address
2831 W Parker Rd Ste 2
Plano, TX 75023-7936
Phone
(469) 531-1292
Fax
(469) 613-0875
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Dinah Porchia, SLPNPI 1982278289
Title
Owner
Phone
(469) 531-1292

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2831 W Parker Rd Ste 2
Plano, TX 75023-7936

Mailing address

2831 W Parker Rd Ste 2
Plano, TX 75023-7936
Phone (469) 395-0773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221202001688 TX Part B Supplier - Clinic/Group Practice 9739558339 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

2831 W Parker Rd
Ste 5
Plano, TX 75023
Phone (469) 431-4134

2831 W Parker Rd
Ste 2
Plano, TX 75023
Phone (469) 395-0773

Practitioners & affiliated clinicians

Practitioners 1

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": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1225750177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 W PARKER RD STE 2",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237936",
            "telephone_number": "469-395-0773",
            "fax_number": "469-613-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 W PARKER RD STE 2",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237936",
            "telephone_number": "469-531-1292",
            "fax_number": "469-613-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMITE SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "PORCHIA",
        "authorized_official_first_name": "DINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-531-1292",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.