Individual provider Active NPI

Anna Gershberg

  • Speech-Language Pathologist
  • Ft Worth, TX
National Provider Identifier
1780225938
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
900 W Leuda St
Ft Worth, TX 76104-3002
Phone
(817) 332-7003
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

900 W Leuda St
Ft Worth, TX 76104-3002

Mailing address

3409 Kingfisher LN
Denton, TX 76209-3529
Phone (214) 686-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930002495 TX Practitioner - Qualified Speech Language Pathologist 7012314289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One RehabGroup PAC ID 7618208752, 23 clinicians

Practice addresses (Care Compare)

1761 International Pkwy
Suite 135
Richardson, TX 75081-1864
Phone (972) 845-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Rehab CurrentSince Sep 1, 2021 Accepting new patients

Locations

6080 N Central Expy
Ste 125
Dallas, TX 75206
Phone (972) 845-7875

6080 N Central Expy
Dallas, TX 75206
Phone (469) 646-0366

1761 International Pkwy
Ste 135
Richardson, TX 75081
Phone (972) 757-8684

Organizations & group practices 1

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1780225938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 KINGFISHER LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762093529",
            "telephone_number": "214-686-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W LEUDA ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043002",
            "telephone_number": "817-332-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHBERG",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.