Organization Active NPI

Central Texas Therapy Spot PLLC

  • Speech-Language Pathologist
  • Waco, TX
National Provider Identifier
1467932103
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108821 Issued in TX
Legal business name
CENTRAL TEXAS THERAPY SPOT PLLC
Practice address
6801 Sanger Ave Ste 105
Waco, TX 76710-7807
Phone
(210) 213-4143
Fax
(254) 732-5922
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Amy Warlick, MA, CCC-SLP
Title
Speech-Language Pathologist
Phone
(210) 213-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 108821 TX Primary

Addresses

Primary practice location

6801 Sanger Ave Ste 105
Waco, TX 76710-7807

Mailing address

1420 Hoosier Park
Robinson, TX 76706-5695
Phone (210) 213-4143

Other identifiers 1

IdentifierTypeStateIssuer
1356796213MedicaidTX

National Provider Directory

National Provider Directory

Locations

6801 Sanger Ave
Ste 105
Waco, TX 76710
Phone (210) 213-4143

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1467932103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HOOSIER PARK",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065695",
            "telephone_number": "210-213-4143",
            "fax_number": "254-732-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 SANGER AVE STE 105",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107807",
            "telephone_number": "210-213-4143",
            "fax_number": "254-732-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS THERAPY SPOT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "WARLICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "210-213-4143",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356796213",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.