Melissa Balthazor, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103115 Issued in TX

Practice address

503 E Palm Valley Blvd Ste 300
Round Rock, TX 78664-3045

Phone

(512) 341-9991

Fax

(512) 341-0019

NPI assigned

Mar 19, 2007

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Round Rock Children's Therapy Center

  • Speech-Language Pathologist
  • Round Rock, TX
  • NPI 1346595394
  Medicare reassignment NPD Authorized official
• Round Rock Childrens Therapy Center

  • Speech-Language Assistant
  • Round Rock, TX
  • NPI 1801342324
  Authorized official Same address or phone

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1821112269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E PALM VALLEY BLVD STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643045",
            "telephone_number": "512-341-9991",
            "fax_number": "512-341-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E PALM VALLEY BLVD STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643045",
            "telephone_number": "512-341-9991",
            "fax_number": "512-341-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTHAZOR",
        "first_name": "MELISSA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103115",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186959603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186959604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1869596-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noli Cantuba Baldeo, M.D.
• Edgar Emmanuel Balderas Garcia
• Gary Baldwin, PA-C
• Jenna Kay Ball, PA-C
• Morgan Claire Ballantine, APRN
• Brittany Brianna Balzano, MOT, OTR
• Jenna Banda, M.S., BCBA
• Emily Marie Banes, RD, LD, CDE
• James Patcrick Banks, MS, LPC
• Kelli Bankston

• Speech-Language Pathologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.