Organization Active NPI

LRK

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1780907691
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103578 Issued in TX
Legal business name
LRK
Practice address
3150 International Blvd
Ste 3104-B
Brownsville, TX 78521-3214
Phone
(956) 621-2557
Fax
(956) 621-2577
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Mrs. Rosalinda Avila, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(956) 655-4962

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 06158 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 102570 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 103578 TX Primary

Addresses

Primary practice location

3150 International Blvd
Ste 3104-B
Brownsville, TX 78521-3214

Mailing address

2415 N 28TH LN
McAllen, TX 78501-6395
Phone (956) 655-4962

Other names 1

  • Southmost Children's Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3150 International Blvd
Ste 3104B
Brownsville, TX 78521
Phone (956) 621-2557

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1780907691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N 28TH LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016395",
            "telephone_number": "956-655-4962",
            "fax_number": "956-621-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 INTERNATIONAL BLVD",
            "address_2": "STE 3104-B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213214",
            "telephone_number": "956-621-2557",
            "fax_number": "956-621-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "956-655-4962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,  CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "06158",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102570",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southmost Children's Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.