Individual provider Active NPI

Mary Karen O'Truk, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1386863280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19558 Issued in TX
Practice address
16365 Park Ten PL
Suite 182
Houston, TX 77084-5060
Phone
(281) 492-0254
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19558 TX Primary

Addresses

Primary practice location

16365 Park Ten PL
Suite 182
Houston, TX 77084-5060

Mailing address

16365 Park Ten PL
Suite 182
Houston, TX 77084-5060
Phone (281) 492-0254

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 Science

State licenses

LicenseStateTypeSpecialty
19558TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386863280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16365 PARK TEN PL",
            "address_2": "SUITE 182",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845060",
            "telephone_number": "281-492-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16365 PARK TEN PL",
            "address_2": "SUITE 182",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845060",
            "telephone_number": "281-492-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TRUK",
        "first_name": "MARY",
        "middle_name": "KAREN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19558",
            "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 Jul 8, 2007; 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.