Organization Active NPI

Skill Builders Rehabilitation, L.L.C.

  • Speech-Language Pathologist
  • San Juan, TX
National Provider Identifier
1366741308
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103914 Issued in TX
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

Updated by the provider on May 16, 2011

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 103914 TX Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.