Dysphagia Therapy Plus CM, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

DYSPHAGIA THERAPY PLUS CM, LLC

Practice address

5445 Almeda Rd Ste 450
Houston, TX 77004-7403

Phone

(832) 622-4929

Fax

(713) 673-5113

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Gilda Letrica Jack-Johnson, M ED CCC/SLP

Title

Speech-Language Pathologist

Phone

(832) 622-4929

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1447943204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALMEDA RD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047403",
            "telephone_number": "832-622-4929",
            "fax_number": "713-673-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALMEDA RD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047403",
            "telephone_number": "832-622-4929",
            "fax_number": "713-673-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSPHAGIA THERAPY PLUS CM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "JACK-JOHNSON",
        "authorized_official_first_name": "GILDA",
        "authorized_official_middle_name": "LETRICA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "832-622-4929",
        "authorized_official_credential": "M ED CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Hearing and Speech Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.