Individual provider Active NPI

Maria Isabel Pelaez

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1639484371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110276 Issued in TX
Practice address
3311 Richmond Ave Ste 315
Houston, TX 77098-3024
Phone
(281) 829-0103
Fax
(281) 962-8130
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 34705 TX
Speech-Language Pathologist 235Z00000X 110276 TX Primary

Addresses

Primary practice location

3311 Richmond Ave Ste 315
Houston, TX 77098-3024

Mailing address

3311 Richmond Ave Ste 315
Houston, TX 77098-3024
Phone (281) 829-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110276TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Therapy Center, PLLC Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

3311 Richmond Ave
Ste 315
Houston, TX 77098
Phone (281) 829-0103

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639484371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 RICHMOND AVE STE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983024",
            "telephone_number": "281-829-0103",
            "fax_number": "281-962-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 RICHMOND AVE STE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983024",
            "telephone_number": "281-829-0103",
            "fax_number": "281-962-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34705",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.