Bright Star Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102581 Issued in TX

Legal business name

BRIGHT STAR THERAPY, PLLC

Practice address

201 N FM 3167
Suite 103
Rio Grande City, TX 78582-6724

Phone

(956) 263-1756

Fax

(956) 263-1758

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Leticia G. Rosa, M.S. CCC-SLP

Title

Speech Language Pathologist

Phone

(956) 735-9099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1689803645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785820748",
            "telephone_number": "956-263-1756",
            "fax_number": "956-263-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FM 3167",
            "address_2": "SUITE 103",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826724",
            "telephone_number": "956-263-1756",
            "fax_number": "956-263-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "956-735-9099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Rio Grande City, TX
• Providers in Rio Grande City, 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 Jul 10, 2009; 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.