Logopedia Therapy Clinic, Inc.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1060036 Issued in TX

Legal business name

LOGOPEDIA THERAPY CLINIC, INC.

Practice address

3409 W State Highway 107
Edinburg, TX 78539-2802

Phone

(956) 380-3400

Fax

(956) 380-3448

NPI assigned

Jul 9, 2006

Last updated

Oct 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dalia I. Gutierrez, MS,CCC,SLP

Title

Owner / Manager

Phone

(956) 380-3400

Specialties & licenses 3

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Logopedia Therapy Clinic, Inc

  • Speech-Language Pathologist
  • Elsa, TX
  • NPI 1558637330
  NPPES parent name

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1407889694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392802",
            "telephone_number": "956-380-3400",
            "fax_number": "956-380-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392802",
            "telephone_number": "956-380-3400",
            "fax_number": "956-380-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOPEDIA THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DALIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "956-380-3400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,CCC,SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1060036",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "111342",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1825424-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Livigni, B.S., O.T.R
• Bernardita Ljubetic, MD
• Linda Renee Llanos, LCDC
• Jose A. Llinas Cepeda, M.D.
• Isabelle Lobdell
• Cecelia Ellizabeth Lohr I, MMP
• Angela Marie Lomas, M.D.
• David London, M.D.
• Lone Star Care EMS, LLC
• Lonestar Transit Network LLC

• Pediatric Physical Therapist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.