Active NPI
Rise Speech Therapy, PLLC
- Speech-Language Pathologist
- College Station, TX
National Provider Identifier
1548026537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leslie Lynette Childs
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- College Station, TX
- NPI 1174649271
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.