Active NPI
Burtis Speech-Language Center, Inc
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1487089975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BURTIS SPEECH-LANGUAGE CENTER, INC
- Practice address
- 5925 Forest LN
Ste 136
Dallas, TX 75230-2712 - Phone
- (972) 661-5157
- NPI assigned
- Sep 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Irene Burtis, M.S.CCC-SLP
- Title
- Owner
- Phone
- (972) 661-5157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5925 Forest LN
Ste 136
Dallas, TX 75230-2712
Mailing address
5925 Forest LN
Ste 136
Dallas, TX 75230-2712
Phone (972) 661-5157
National Provider Directory
National Provider DirectoryLocations
5925 Forest Ln
Ste 136
Dallas, TX 75230
Phone (972) 661-5157
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Dallas, TX
- NPI 1457467706
-
- Speech-Language Pathologist
- Dallas, TX
- NPI 1699834242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378252800000",
"number": "1487089975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 FOREST LN",
"address_2": "STE 136",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302712",
"telephone_number": "972-661-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 FOREST LN",
"address_2": "STE 136",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302712",
"telephone_number": "972-661-5157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURTIS SPEECH-LANGUAGE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A",
"authorized_official_last_name": "BURTIS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-661-5157",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S.CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.