Organization Active NPI

Abc Speech Therapy LLC

  • Speech-Language Pathologist
  • Rowlett, TX
National Provider Identifier
1639769904
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ABC SPEECH THERAPY LLC
Practice address
3416 Enterprise Dr # 1851
Rowlett, TX 75088
Phone
(972) 365-0860
NPI assigned
Jan 21, 2021
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Joanna Jaramillo, M.S., CCC-SLPNPI 1477010627
Title
Speech-Language Pathologist
Phone
(972) 365-0860

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3416 Enterprise Dr # 1851
Rowlett, TX 75088

Mailing address

3416 Enterprise Dr # 1851
Rowlett, TX 75088
Phone (972) 365-0860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260602001483 TX Part B Supplier - Clinic/Group Practice 0749751675 Receives reassigned benefits from 1 practitioner
Practice locations: Rowlett, TX

National Provider Directory

National Provider Directory

Locations

3416 Enterprise Dr
#1851
Rowlett, TX 75088
Phone (972) 365-0860

3416 Enterprise Dr
Ste 1851
Rowlett, TX 75088

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1639769904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 ENTERPRISE DR # 1851",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75088",
            "telephone_number": "972-365-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 ENTERPRISE DR # 1851",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75088",
            "telephone_number": "972-365-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "972-365-0860",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.