Individual provider Active NPI

Sofia Woldu

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1720616634
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
8324 Cameron Rd
Austin, TX 78754-3990
Phone
(469) 396-7293
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

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 Primary

Addresses

Primary practice location

8324 Cameron Rd
Austin, TX 78754-3990

Mailing address

3201 Esperanza Xing Apt 125
Austin, TX 78758-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240401000697 TX Practitioner - Qualified Speech Language Pathologist 2668810359 Reassigns benefits to 1 organization
I20240510002559 PA Practitioner - Qualified Speech Language Pathologist 2668810359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 15, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 15, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

Organizations & group practices 2

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1720616634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ESPERANZA XING APT 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543990",
            "telephone_number": "469-396-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDU",
        "first_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.