Organization Active NPI

Ez Pediatric Therapy

  • Speech-Language Assistant
  • Houston, TX
National Provider Identifier
1356655666
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
33153 Issued in TX
Legal business name
EZ PEDIATRIC THERAPY
Practice address
5505 W Orem Dr
Suite 500
Houston, TX 77085-1276
Phone
(832) 289-5663
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
La Sonja Henderson, SLP- ASSISTANT
Title
Owner
Phone
(832) 289-5663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X 33153 TX Primary

Addresses

Primary practice location

5505 W Orem Dr
Suite 500
Houston, TX 77085-1276

Mailing address

11711 Shadow Creek Pkwy Ste 113
Pearland, TX 77584-7233
Phone (832) 289-5663

National Provider Directory

National Provider Directory

Locations

11711 Shadow Creek Pkwy
Ste 113
Pearland, TX 77584
Phone (713) 534-3119

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1356655666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 SHADOW CREEK PKWY STE 113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847233",
            "telephone_number": "832-289-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851276",
            "telephone_number": "832-289-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LA SONJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-289-5663",
        "authorized_official_credential": "SLP- ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.