Johanna Magali Saenz – Speech-Language Pathologist

Key facts

NPI: 1265715007
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 106774 (TX)
Practice address: 128 N. Daniel Salinas Blvd
Donna, TX 78537-4404
Phone: (956) 464-1002
Fax: (956) 464-1007
NPI assigned: Sep 27, 2011
Sex: Female
Sole proprietor: Yes

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.

Childrens Care Rehabilitation Center LLC Rehabilitation Clinic/Center · Donna, TX · NPI 1649362575

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
106774	TX	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Childrens Care Rehabilitation Center LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	106774	TX	Yes

Addresses

Primary practice location

128 N. Daniel Salinas Blvd
Donna, TX 78537-4404

Mailing address

128 N Daniel Salinas Blvd
Donna, TX 78537-2926
Phone (956) 464-1002

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2011.

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1265715007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N DANIEL SALINAS BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372926",
            "telephone_number": "956-464-1002",
            "fax_number": "956-464-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N. DANIEL SALINAS BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785374404",
            "telephone_number": "956-464-1002",
            "fax_number": "956-464-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAENZ",
        "first_name": "JOHANNA",
        "middle_name": "MAGALI",
        "credential": "MS, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

All providers in Donna, TX · Speech-Language Pathologist in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.