Active NPI
Skill Builders Rehabilitation, L.L.C.
- Speech-Language Pathologist
- San Juan, TX
National Provider Identifier
1366741308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103914
- Legal business name
- SKILL BUILDERS REHABILITATION, L.L.C.
- Practice address
- 700 N Veterans Blvd Ste E
San Juan, TX 78589-3226 - Phone
- (956) 961-4230
- Fax
- (956) 961-4231
- NPI assigned
- Mar 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jeanna Renee Ayala, M.S., CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (956) 961-4230
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103914 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | 103251 | TX |
Addresses
Primary practice location
700 N Veterans Blvd Ste E
San Juan, TX 78589-3226
Mailing address
700 N Veterans Blvd Ste E
San Juan, TX 78589-3226
Phone (956) 961-4230
National Provider Directory
National Provider DirectoryLocations
700 N Veterans Blvd
San Juan, TX 78589
700 N Veterans Blvd
Ste E
San Juan, TX 78589
Phone (956) 685-5377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- San Juan, TX
- NPI 1841449782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1366741308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N VETERANS BLVD STE E",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893226",
"telephone_number": "956-961-4230",
"fax_number": "956-961-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N VETERANS BLVD STE E",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893226",
"telephone_number": "956-961-4230",
"fax_number": "956-961-4231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILL BUILDERS REHABILITATION, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-16",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "AYALA",
"authorized_official_first_name": "JEANNA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "956-961-4230",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103914",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.