Organization Active NPI

Ignite Speech Therapy PLLC

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1396517231
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
IGNITE SPEECH THERAPY PLLC
Practice address
3707 W Jefferson Blvd Ste 130
Dallas, TX 75211-4713
Phone
(469) 231-0795
Fax
(469) 259-0795
NPI assigned
Oct 24, 2023
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Marie Hernandez McManus, SLPNPI 1669596391
Title
Owner/SLP
Phone
(469) 231-4746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3707 W Jefferson Blvd Ste 130
Dallas, TX 75211-4713

Mailing address

3707 W Jefferson Blvd Ste 130
Dallas, TX 75211-4713
Phone (469) 213-0795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217001359 TX Part B Supplier - Clinic/Group Practice 6204363120 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3707 W Jefferson Blvd
Ste 130
Dallas, TX 75211
Phone (469) 213-0795

3707 W Jefferson Blvd
#130
Dallas, TX 75211
Phone (469) 213-0795

509 N Winnetka Ave
#110
Dallas, TX 75208

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1396517231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 W JEFFERSON BLVD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752114713",
            "telephone_number": "469-213-0795",
            "fax_number": "469-259-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 W JEFFERSON BLVD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752114713",
            "telephone_number": "469-231-0795",
            "fax_number": "469-259-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ MCMANUS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "469-231-4746",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.