Individual provider Active NPI

Marisa Salley, MS SLP

  • Speech-Language Pathologist
  • Cedar Park, TX
National Provider Identifier
1285377002
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118348 Issued in TX
Practice address
1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095
Phone
(512) 260-6990
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 118348 TX Primary

Addresses

Primary practice location

1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095

Mailing address

1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095
Phone (512) 260-6990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marisa.salley@achievepediatrics.com

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

LicenseStateTypeSpecialty
118348TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Pediatric Therapy & Rehab PC Speech-Language Pathologist CurrentSince Jun 30, 2024 Accepting new patients

Locations

1320 Arrow Point Dr
Ste 413
Cedar Park, TX 78613
Phone (512) 260-6990

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.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1285377002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 413",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132095",
            "telephone_number": "512-260-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 413",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132095",
            "telephone_number": "512-260-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "MARISA",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisa.salley@achievepediatrics.com",
            "affiliation": "N",
            "address_1": "1320 Arrow Point Dr Ste 413",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786132095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.