Individual provider Active NPI

Sofia Tilton, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1801235767
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104352 Issued in TX
Practice address
5900 Memorial Dr
Suite #208
Houston, TX 77007-8004
Phone
(832) 794-9007
NPI assigned
Jun 24, 2013
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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 104352 TX Primary

Addresses

Primary practice location

5900 Memorial Dr
Suite #208
Houston, TX 77007-8004

Mailing address

5900 Memorial Dr Ste 302
Houston, TX 77007-8008
Phone (832) 794-9007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326002139 TX Practitioner - Qualified Speech Language Pathologist 3173754686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Westcott St
Suite 400
Houston, TX 77007-6038
Phone (832) 794-9007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104352TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Words of Wisdom, PLLC Speech-Language Pathologist CurrentSince Feb 18, 2014 Accepting new patients
KS Therapy Services, PLLC Past Accepting new patients

Locations

550 Westcott St
Ste 400
Houston, TX 77007
Phone (832) 794-9007

5900 Memorial Dr
Ste 208
Houston, TX 77007
Phone (832) 794-9007

5900 Memorial Dr
Ste 302
Houston, TX 77007
Phone (832) 588-7359

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1801235767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR STE 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078008",
            "telephone_number": "832-794-9007",
            "fax_number": "855-482-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR",
            "address_2": "SUITE #208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078004",
            "telephone_number": "832-794-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILTON",
        "first_name": "SOFIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.