Individual provider Active NPI

Jonathan Garcia, MS CCC-SLP

  • Speech-Language Assistant
  • Manor, TX
National Provider Identifier
1720408669
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
36680 Issued in TX
Practice address
18010 Blake Manor Rd
Manor, TX 78653-5160
Phone
(512) 278-4200
Fax
(956) 573-8639
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 36680 TX Primary

Addresses

Primary practice location

18010 Blake Manor Rd
Manor, TX 78653-5160

Mailing address

10350 Blue Bluff Rd Apt 18102
Austin, TX 78724-7051
Phone (956) 573-8639

Other practice location 1

11817 Murchison St
Manor, TX 78653-5488
Phone (512) 278-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36680TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1720408669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 BLUE BLUFF RD APT 18102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787247051",
            "telephone_number": "956-573-8639",
            "fax_number": "956-573-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 BLAKE MANOR RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535160",
            "telephone_number": "512-278-4200",
            "fax_number": "956-573-8639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11817 Murchison St",
            "address_purpose": "LOCATION",
            "city": "Manor",
            "state": "TX",
            "postal_code": "786535488",
            "country_code": "US",
            "telephone_number": "512-278-4360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JONATHAN",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "36680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.