Siobhan C Marcucci, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116059 Issued in TX

Practice address

7112 Ed Bluestein Blvd Ste 100
Austin, TX 78723-2913

Phone

(512) 744-6000

Fax

(512) 583-5462

NPI assigned

Jan 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Footsteps and Handprints Pediatric Therapy, LLC

  • Pediatric Physical Therapist
  • Round Rock, TX
  • NPI 1104114412
  NPD

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1487990933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD STE 56",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653996",
            "telephone_number": "512-218-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232913",
            "telephone_number": "512-744-6000",
            "fax_number": "512-583-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUCCI",
        "first_name": "SIOBHAN",
        "middle_name": "C",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Marciano, DC
• Ewa Marcinkiewicz
• Leah Marcks, BCABA, LABA
• Marco a Vega, M.D.,P.a.
• Marcos Transportation
• Elizabeth Lee Ann Marcum, LCSW, LCDC
• Brittany Marcus, BCBA
• Howard R Marcus, MD
• Victoria Marcus
• Laura Anne Marcyes

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

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