Individual provider Active NPI

Scott Archibald, MS, CCC-SLP

  • Speech-Language Pathologist
  • Floresville, TX
National Provider Identifier
1548751266
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17874 Issued in FL
Practice address
1200 5TH St
Floresville, TX 78114-2009
Phone
(830) 393-5300
NPI assigned
May 29, 2018
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA17874 FL Primary

Addresses

Primary practice location

1200 5TH St
Floresville, TX 78114-2009

Mailing address

10012 Tuller Loop Apt 306
Winter Garden, FL 34787-4053
Phone (210) 887-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, WI, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220125000624 TX Practitioner - Qualified Speech Language Pathologist 9830581891 Reassigns benefits to 1 organization
I20240523002892 FL Practitioner - Qualified Speech Language Pathologist 9830581891 Reassigns benefits to 1 organization
I20240529002951 WI Practitioner - Qualified Speech Language Pathologist 9830581891 Reassigns benefits to 1 organization
I20240627001820 WA Practitioner - Qualified Speech Language Pathologist 9830581891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jul 8, 2024 Accepting new patients

Locations

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (281) 698-5816

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1548751266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 TULLER LOOP APT 306",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874053",
            "telephone_number": "210-887-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 5TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142009",
            "telephone_number": "830-393-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "SCOTT",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.