Mar Pediatric Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MAR PEDIATRIC THERAPY LLC

Practice address

3903 Wiseman Blvd Ste 121B
San Antonio, TX 78251-4401

Phone

(726) 242-5113

Fax

(210) 568-4126

NPI assigned

Jun 22, 2022

Last updated

Jun 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Carmen Violette, MSNPI 1659850311

Title

CCC-SLP

Phone

(602) 989-9750

Specialties & licenses 2

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonia Carmen Violette

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1659850311
  NPD Authorized official
• Yvonne Garza

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1972127215
  NPD
• Kelly Jezewski, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1356180087
  NPD (past)
• Jessica Lee, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1033081617
  NPD (past)
• Sosena Demissie Melese, SLP

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1508749979
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1821729559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 RICHLAND HILLS DR.",
            "address_2": "P.O. BOX 760326",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "602-989-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 121B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514401",
            "telephone_number": "726-242-5113",
            "fax_number": "210-568-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Calate Rdg",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534116",
            "country_code": "US",
            "telephone_number": "602-989-9750",
            "fax_number": "210-568-4123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Stanford Blvd Ste 1900",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455910",
            "country_code": "US",
            "telephone_number": "410-404-9713",
            "fax_number": "210-568-4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAR PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "VIOLETTE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "CCC-SLP",
        "authorized_official_telephone_number": "602-989-9750",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Hospice LLC
• Bianca Maples, RD
• Johnae Marie Mapp
• Donald Tyler Mappin, RN
• Manjusha Tom Maprel, RN DNP
• Michelle Mar Trevizo
• Mar Vida Integrated Health & Wellness
• Carmen Mar, QMHP
• Marco Antonio Mar Jr., LPC
• Sandra Zulema Mar, DDS

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, 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 Jun 27, 2025; 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.