Sendero Pediatric Therapy LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SENDERO PEDIATRIC THERAPY LLC

Practice address

34 N Washington St
Ardmore, OK 73401-7013

Phone

(940) 395-5008

NPI assigned

May 4, 2021

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Molly Patiricia Cantarella, M.S., CCC/SLPNPI 1306298666

Title

Owner / SLP

Phone

(940) 395-5008

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Patricia Cantarella, SLP

  • Speech-Language Pathologist
  • Brownwood, TX
  • NPI 1306298666
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1598348807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 LUMBERMAN RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734018886",
            "telephone_number": "940-395-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N WASHINGTON ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017013",
            "telephone_number": "940-395-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENDERO PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "CANTARELLA",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "PATIRICIA",
        "authorized_official_title_or_position": "OWNER / SLP",
        "authorized_official_telephone_number": "940-395-5008",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sears
• Jaqueline Paige Seely
• Kelley Hughes Segler, LPC
• Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
• Shelly M Self, LPC
• Vanessa Serrano
• Mahmoud Shadi, M.D.
• Rachel Shaffer
• Bhavin C Shah, MD
• Bryan Eliot Shapiro, M.D.

• Hearing and Speech Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Hearing and Speech Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.