Active NPI
Homero Acevedo Jr., SLPASSISTANT
- Speech-Language Pathologist
- Penitas, TX
National Provider Identifier
1285134569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 38109
- Practice address
- 17924 Sabal Palm Dr
Penitas, TX 78576-0977 - Phone
- (956) 581-8060
- NPI assigned
- Feb 13, 2018
- Last updated
- Feb 13, 2018
- Sex
- Male
- 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 | 38109 | TX | Primary |
Addresses
Primary practice location
17924 Sabal Palm Dr
Penitas, TX 78576-0977
Mailing address
2100 Gardenia St
Penitas, TX 78576-1008
Phone (956) 424-2767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38109 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidding Around Therapy, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kid'N Around Therapy
- Rehabilitation Clinic/Center
- Penitas, TX
- NPI 1396291555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1285134569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 GARDENIA ST",
"city": "PENITAS",
"state": "TX",
"postal_code": "785761008",
"telephone_number": "956-424-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17924 SABAL PALM DR",
"city": "PENITAS",
"state": "TX",
"postal_code": "785760977",
"telephone_number": "956-581-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "HOMERO",
"name_suffix": "Jr.",
"credential": "SLPASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-13",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "38109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penitas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.