Individual provider Active NPI

Rebecca L Thorley, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Spring, TX
National Provider Identifier
1336395938
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102613 Issued in TX
Practice address
230 Spring Hill Dr
Suite 305
Spring, TX 77386-2381
Phone
(281) 292-2050
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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 102613 TX Primary

Addresses

Primary practice location

230 Spring Hill Dr
Suite 305
Spring, TX 77386-2381

Mailing address

30210 Mesa Valley Dr
Spring, TX 77386-3192
Phone (281) 419-5153

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

LicenseStateTypeSpecialty
102613TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1336395938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30210 MESA VALLEY DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863192",
            "telephone_number": "281-419-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SPRING HILL DR",
            "address_2": "SUITE 305",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862381",
            "telephone_number": "281-292-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORLEY",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.