Pediatric Therapy Associates-Speech, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC THERAPY ASSOCIATES-SPEECH, PLLC

Practice address

1001 Louisiana Ave Ste 402
Corpus Christi, TX 78404-2856

Phone

(361) 853-0488

Fax

(361) 853-0489

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline B Heath, CCC/SLP

Title

Speech Language Pathologist

Phone

(361) 853-0488

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1295374627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042856",
            "telephone_number": "361-853-0488",
            "fax_number": "361-853-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042856",
            "telephone_number": "361-853-0488",
            "fax_number": "361-853-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY ASSOCIATES-SPEECH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "361-853-0488",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363270501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.