Active NPI
Temiloluwa Omotayo, M.S. CCC-SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1528787488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 120808
- Practice address
- 9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001 - Phone
- (832) 828-1005
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 120808 | TX | Primary |
Addresses
Primary practice location
9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001
Mailing address
9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001
Phone (832) 828-1005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230915000090 | TX | Practitioner - Qualified Speech Language Pathologist | 1355705948 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120808 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1528787488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 BISSONNET ST STE 1000W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368001",
"telephone_number": "832-828-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 BISSONNET ST STE 1000W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368001",
"telephone_number": "832-828-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOTAYO",
"first_name": "TEMILOLUWA",
"name_prefix": "Miss",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "120808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.