Active NPI
Gulf Coast Therapy
- Home Health Agency
- Galveston, TX
National Provider Identifier
1386085041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GULF COAST THERAPY
- Practice address
- 928 Broadway
Galveston, TX 77550 - Phone
- (409) 242-6500
- Fax
- (409) 497-4389
- NPI assigned
- Jul 10, 2013
- 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. Julie Mary Bonomo, MS/SLP/CCC
- Title
- SLP/Owner
- Phone
- (409) 242-6500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103159 | TX | |
| Speech-Language Pathologist | 235Z00000X | 105339 | TX | |
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
928 Broadway
Galveston, TX 77550
Mailing address
PO Box 57
Galveston, TX 77553-0057
Phone (409) 242-6500
Other names 1
- Gulf Coast Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1386085041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775530057",
"telephone_number": "409-242-6500",
"fax_number": "409-497-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77550",
"telephone_number": "409-242-6500",
"fax_number": "409-497-4389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-10",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "BONOMO",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "SLP/OWNER",
"authorized_official_telephone_number": "409-242-6500",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS/SLP/CCC"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103159",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105339",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gulf Coast Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gulf Coast Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.