Individual provider Active NPI

Samantha Jo Martinez, M.A., CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1730723065
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114551 Issued in TX
Practice address
21811 Hyerwood
San Antonio, TX 78259-2156
Phone
(210) 256-9859
NPI assigned
Oct 30, 2019
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 114551 TX Primary

Addresses

Primary practice location

21811 Hyerwood
San Antonio, TX 78259-2156

Mailing address

19179 Blanco Rd Ste 105
San Antonio, TX 78258-4009
Phone (210) 256-9859

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
114551TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Right Bite Pediatric Feeding & Swallowing Services, LLC Speech-Language Pathologist Current Accepting new patients
Home Health Care Specialists, LLC Speech-Language Pathologist PastSince Nov 1, 2019 Accepting new patients

Locations

19179 Blanco Rd
Ste 105
San Antonio, TX 78258
Phone (210) 580-4814

7254 Blanco Rd
Ste 204
San Antonio, TX 78216
Phone (210) 724-6498

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1730723065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584009",
            "telephone_number": "210-256-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21811 HYERWOOD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592156",
            "telephone_number": "210-256-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.