Individual provider Active NPI

Tais Arlene Ortiz Lopez

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1457064149
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
12605 East Fwy Ste 212
Houston, TX 77015-5619
Phone
(713) 453-0400
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 7613 PR
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

12605 East Fwy Ste 212
Houston, TX 77015-5619

Mailing address

762 W Parktown Dr
Deer Park, TX 77536-5746
Phone (787) 590-8853

Other practice location 1

Urbanizacion Lomas Verdes calle Eucalipto
2D6
Bayamon, PR 00956-3437
Phone (787) 590-8853

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

State licenses

LicenseStateTypeSpecialty
7613PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Helling Children'S Center LP PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1457064149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 W PARKTOWN DR",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775365746",
            "telephone_number": "787-590-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 EAST FWY STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155619",
            "telephone_number": "713-453-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urbanizacion Lomas Verdes calle Eucalipto",
            "address_2": "2D6",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009563437",
            "country_code": "US",
            "telephone_number": "787-590-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ LOPEZ",
        "first_name": "TAIS",
        "middle_name": "ARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "7613",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Aug 29, 2024; 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.