NPIMap

Organization Active NPI

Keystone Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • McKinney, TX
National Provider Identifier
1629373295
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101752 Issued in TX
Legal business name
KEYSTONE PEDIATRIC THERAPY, PLLC
Practice address
2720 Virginia Pkwy
Suite 300
McKinney, TX 75071-4916
Phone
(972) 548-1990
NPI assigned
Jan 12, 2011
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Kathleen O'Hara Miller, M.S., CCC-SLPNPI 1609170166
Title
Owner, Speech Language Pathologist
Phone
(214) 491-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X TX
Speech-Language Pathologist 235Z00000X 101752 TX Primary

Addresses

Primary practice location

2720 Virginia Pkwy
Suite 300
McKinney, TX 75071-4916

Mailing address

2720 Virginia Pkwy
Suite 300
McKinney, TX 75071-4916
Phone (972) 548-1990

National Provider Directory

National Provider Directory

Locations

2720 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (972) 548-1990

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1629373295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 VIRGINIA PKWY",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714916",
            "telephone_number": "972-548-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 VIRGINIA PKWY",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714916",
            "telephone_number": "972-548-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "O'HARA",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "214-491-0502",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.