Timothy Frank Villa

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107979 Issued in TX

Practice address

2301 Ohio Dr Ste 130
Plano, TX 75093-3997

Phone

(972) 964-0200

Fax

(972) 519-0042

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Progressive Pediatric Therapy of TX, Inc.

  • Pediatric Occupational Therapist
  • Plano, TX
  • NPI 1285872788
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1669751012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933997",
            "telephone_number": "972-964-0200",
            "fax_number": "972-519-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933997",
            "telephone_number": "972-964-0200",
            "fax_number": "972-519-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "TIMOTHY",
        "middle_name": "FRANK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107979",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana I Viganas, LPC
• Norma Vigilant
• Vigorcare Partners of Texas, LTD.
• Vijaya Kavikondala MD PA
• Chase Vilhauer, PT, DPT
• Cynthia Diana Villacorta Sebran, LPC
• Martha Patricia Villada, ACNP
• Village Sleep Center, L.P.
• David Villagomez, BCBA
• Ana Paula Villalobos Acosta, MD

• Speech-Language Pathologist in Plano, TX
• Providers in Plano, 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 Aug 8, 2024; 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.