Organization Active NPI

Rise Speech Therapy, PLLC

  • Speech-Language Pathologist
  • College Station, TX
National Provider Identifier
1548026537
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
RISE SPEECH THERAPY, PLLC
Practice address
3206 Longmire Dr Ste A23
College Station, TX 77845-5858
Phone
(979) 221-1507
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mrs. Leslie Lynette ChildsNPI 1174649271
Title
Owner/SLP
Phone
(859) 321-0932

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3206 Longmire Dr Ste A23
College Station, TX 77845-5858

Mailing address

2004 Old May CT
College Station, TX 77845-3883
Phone (859) 321-0932

National Provider Directory

National Provider Directory

Locations

3206 Longmire Dr
Ste A23
College Station, TX 77845
Phone (859) 321-0932

Practitioners & affiliated clinicians

Practitioners 1

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1548026537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 OLD MAY CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778453883",
            "telephone_number": "859-321-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A23",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "979-221-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "859-321-0932",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.