NPIMap

Organization Active NPI

Logopedia Therapy Clinic, Inc

  • Speech-Language Pathologist
  • Elsa, TX
National Provider Identifier
1558637330
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LOGOPEDIA THERAPY CLINIC, INC
Practice address
848 Manzanilla Court
Suite 1
Elsa, TX 78543-2798
Phone
(956) 255-4154
Fax
(956) 255-4157
NPI assigned
Mar 27, 2012
Organization subpart
Yes
Parent organization
LOGOPEDIA THERAPY CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dalia Irene Gutierrez
Title
Owner
Phone
(956) 255-4154

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X TX
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X TX Primary

Addresses

Primary practice location

848 Manzanilla Court
Suite 1
Elsa, TX 78543-2798

Mailing address

3409 W State Highway 107
Edinburg, TX 78539-2802
Phone (956) 255-4154

National Provider Directory

National Provider Directory
Part of
Logopedia Therapy Clinic Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1558637330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392802",
            "telephone_number": "956-255-4154",
            "fax_number": "956-255-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 MANZANILLA COURT",
            "address_2": "SUITE 1",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785432798",
            "telephone_number": "956-255-4154",
            "fax_number": "956-255-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOPEDIA THERAPY CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOGOPEDIA THERAPY CLINIC, INC",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DALIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-255-4154"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.