Lifespan Speech and Swallow Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LIFESPAN SPEECH AND SWALLOW THERAPY PLLC

Practice address

20658 Stone Oak Pkwy Unit 101
San Antonio, TX 78258-7361

Phone

(210) 876-5282

Fax

(210) 864-2199

NPI assigned

Oct 14, 2021

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherin Oigbokie, SLPNPI 1063837516

Title

Owner/Speech Pathologist

Phone

(210) 876-5282

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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.

• Katherin Oigbokie

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1063837516
  Authorized official Same address or phone

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1699438838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY UNIT 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587361",
            "telephone_number": "210-876-5282",
            "fax_number": "210-864-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY UNIT 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587361",
            "telephone_number": "210-876-5282",
            "fax_number": "210-864-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20770 US Highway 281 N Ste 108-166",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587655",
            "country_code": "US",
            "telephone_number": "210-876-5282",
            "fax_number": "210-864-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN SPEECH AND SWALLOW THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "OIGBOKIE",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "210-876-5282",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, 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 Oct 19, 2023; 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.