Individual provider Active NPI

Dora Oralia Magallanes, SLP

  • Speech-Language Pathologist
  • Converse, TX
National Provider Identifier
1659016970
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119410 Issued in TX
Practice address
7585 Kitty Hawk Rd Ste 202
Converse, TX 78109-2820
Phone
(210) 236-0911
Fax
(210) 899-0912
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 119410 TX Primary

Addresses

Primary practice location

7585 Kitty Hawk Rd Ste 202
Converse, TX 78109-2820

Mailing address

7585 Kitty Hawk Rd Ste 202
Converse, TX 78109-2820
Phone (210) 236-0911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmagallanes@urphysicaltherapy.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427001070 TX Practitioner - Qualified Speech Language Pathologist 2769863760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas United Rehab Therapy Specialists, LLCGroup PAC ID 0941621437, 3 clinicians

Practice addresses (Care Compare)

7585 Kitty Hawk Rd
Suite 202
Converse, TX 78109-2820
Phone (210) 236-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119410TXMDOccupational Therapist

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1659016970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK RD STE 202",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092820",
            "telephone_number": "210-236-0911",
            "fax_number": "210-899-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK RD STE 202",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092820",
            "telephone_number": "210-236-0911",
            "fax_number": "210-899-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLANES",
        "first_name": "DORA",
        "middle_name": "ORALIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmagallanes@urphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7585 Kitty Hawk Rd Ste 202",
            "city": "Converse",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781092820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.