Individual provider Active NPI

Rebeca Renee Schroeder, SLP

  • Speech-Language Pathologist
  • Granbury, TX
National Provider Identifier
1619568607
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101306 Issued in TX
Practice address
2600 James Rd Ste 200
Granbury, TX 76049-3122
Phone
(817) 910-8131
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 101306 TX Primary

Addresses

Primary practice location

2600 James Rd Ste 200
Granbury, TX 76049-3122

Mailing address

2600 James Rd Ste 200
Granbury, TX 76049-3122
Phone (817) 910-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514000452 TX Practitioner - Qualified Speech Language Pathologist 0244649671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101306TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Making Waves Pediatric Therapy Clinic LLC Speech-Language Pathologist CurrentSince May 12, 2021 Accepting new patients

Locations

2600 James Rd
Ste 200
Granbury, TX 76049
Phone (817) 910-8131

2600 James Rd
Ste 300
Granbury, TX 76049
Phone (817) 910-8131

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1619568607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JAMES RD STE 200",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493122",
            "telephone_number": "817-910-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JAMES RD STE 200",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493122",
            "telephone_number": "817-910-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "REBECA",
        "middle_name": "RENEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.