NPIMap

Organization Active NPI

Launch Pediatric Therapy

  • Speech-Language Pathologist
  • Jersey Village, TX
National Provider Identifier
1487333076
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LAUNCH PEDIATRIC THERAPY
Practice address
16000 Dillard Dr Ste 2B
Jersey Village, TX 77040-2085
Phone
(291) 660-3607
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Ms. Michelle Toni Mitcham, CCC-SLPNPI 1255567806
Title
Founder, Ceo
Phone
(281) 660-3607

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

16000 Dillard Dr Ste 2B
Jersey Village, TX 77040-2085

Mailing address

16000 Dillard Dr Ste 2B
Jersey Village, TX 77040-2085
Phone (291) 660-3607

National Provider Directory

National Provider Directory

Locations

16000 Dillard Dr
Ste 2B
Jersey Village, TX 77040
Phone (281) 410-1980

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1487333076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 DILLARD DR STE 2B",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402085",
            "telephone_number": "291-660-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 DILLARD DR STE 2B",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402085",
            "telephone_number": "291-660-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCH PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MITCHAM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "TONI",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "281-660-3607",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.