4 Gen Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

4 GEN THERAPY SERVICES LLC

Practice address

1401 Montana Ave Ste C
El Paso, TX 79902-5654

Phone

(915) 209-0014

Fax

(915) 792-0029

NPI assigned

Feb 14, 2023

Last updated

Feb 15, 2023By 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

Audrey Alba, SLPNPI 1306101258

Title

Owner

Phone

(915) 873-1021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Audrey Renee Alba, SLP

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1306101258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1619674256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025654",
            "telephone_number": "915-209-0014",
            "fax_number": "915-792-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025654",
            "telephone_number": "915-209-0014",
            "fax_number": "915-792-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 GEN THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "ALBA",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-873-1021",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.