Individual provider Active NPI

Isabelle Marie Ormiston, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Keller, TX
National Provider Identifier
1366063836
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116658 Issued in TX
Practice address
1652 Keller Pkwy
Ste 100
Keller, TX 76248-3876
Phone
(817) 562-3111
Fax
(817) 562-3114
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TX
Speech-Language Pathologist 235Z00000X 116658 TX Primary

Addresses

Primary practice location

1652 Keller Pkwy
Ste 100
Keller, TX 76248-3876

Mailing address

1652 Keller Parkway
Suite 100
Keller, TX 76248-3876
Phone (817) 562-3111

Other practice location 1

1101 Keller Pkwy
Keller, TX 76248-3614
Phone (817) 562-3111

Other identifiers 1

IdentifierTypeStateIssuer
116658OtherTXSTATE LICENSE

Other names 1

  • Isabelle Ormiston Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.therapediacenter.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 Arts

State licenses

LicenseStateTypeSpecialty
116658TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapedia, LLC CurrentSince May 1, 2020 Accepting new patients

Locations

1652 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (817) 562-3111

1101 Keller Pkwy
Keller, TX 76248
Phone (817) 562-3111

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.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1366063836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 KELLER PARKWAY",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483876",
            "telephone_number": "817-562-3111",
            "fax_number": "817-562-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 KELLER PKWY",
            "address_2": "STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483876",
            "telephone_number": "817-562-3111",
            "fax_number": "817-562-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Keller Pkwy",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483614",
            "country_code": "US",
            "telephone_number": "817-562-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORMISTON",
        "first_name": "ISABELLE",
        "middle_name": "MARIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "116658",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapediacenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1652 Keller Pkwy Ste 100",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762483876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ISABELLE",
            "last_name": "ORMISTON",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.