NPIMap

Organization Active NPI

Boerne Speech Therapy, LLC

Doing business as Trio Rehabilitation & Wellness Solutions

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1477938942
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BOERNE SPEECH THERAPY, LLC
Doing business as
Trio Rehabilitation & Wellness Solutions
Practice address
18 Scenic Loop Rd Ste 200
Boerne, TX 78006-8672
Phone
(830) 331-2083
NPI assigned
Jul 27, 2015
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Jennica Nicole ColvinNPI 1245567882
Title
Owner
Phone
(830) 331-8604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

18 Scenic Loop Rd Ste 200
Boerne, TX 78006-8672

Mailing address

1022 River Rd BLDG 6
Boerne, TX 78006-2487
Phone (830) 331-8604

Other names 1

  • Trio Rehabilitation & Wellness Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201002358 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698075323 Receives reassigned benefits from 15 practitioners
Practice locations: Boerne, TX

National Provider Directory

National Provider Directory

Locations

1022 River Rd
Boerne, TX 78006

1022 River Rd
Bldg 6
Boerne, TX 78006
Phone (830) 331-8604

1022 River Rd
Ste 6
Boerne, TX 78006
Phone (830) 331-8600

1022 River Rd
Ste 8
Boerne, TX 78006

18 Scenic Loop Rd
Ste 200
Boerne, TX 78006
Phone (830) 331-2083

18 Scenic Loop Rd
Ste 200A
Boerne, TX 78006
Phone (830) 755-6091

217 E Bandera Rd
Ste 2
Boerne, TX 78006
Phone (210) 875-1431

217 E Bandera Rd
Ste 23
Boerne, TX 78006
Phone (830) 331-2083

203 US Highway 87
Ste 208
Comfort, TX 78013
Phone (830) 995-3508

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1477938942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 RIVER RD BLDG 6",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062487",
            "telephone_number": "830-331-8604",
            "fax_number": "866-923-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SCENIC LOOP RD STE 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068672",
            "telephone_number": "830-331-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "JENNICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-331-8604"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trio Rehabilitation & Wellness Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.