Northwoods Speech Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102089 Issued in TX

Legal business name

NORTHWOODS SPEECH THERAPY SERVICES, LLC

Practice address

142 Kaden Creek PL
Montgomery, TX 77316-2126

Phone

(281) 650-7220

NPI assigned

Mar 26, 2015

Last updated

Mar 26, 2015By 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. Tracy M Garrison, M.A. CCC-SLPNPI 1407240468

Title

Company Owner/Speech Pathologist

Phone

(281) 650-7220

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tracy Garrison

  • Speech-Language Pathologist
  • Montgomery, TX
  • NPI 1407240468
  NPD (past) Authorized official

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1427442482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 KADEN CREEK PL",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162126",
            "telephone_number": "281-650-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 KADEN CREEK PL",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162126",
            "telephone_number": "281-650-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS SPEECH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COMPANY OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "281-650-7220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.