NPIMap

Organization Active NPI

Exceptional Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1831440239
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102041 Issued in TX
Legal business name
EXCEPTIONAL PEDIATRIC THERAPY LLC
Practice address
9610 Longpoint Rd
Ste 120
Houston, TX 77055
Phone
(832) 487-9872
Fax
(832) 487-9880
NPI assigned
Sep 25, 2012
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Ms. Nedra G Woods, CCC/SLPNPI 1780812156
Title
Speech Language Pathologist
Phone
(832) 487-9872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 102041 TX Primary

Addresses

Primary practice location

9610 Longpoint Rd
Ste 120
Houston, TX 77055

Mailing address

9610 Long Point Rd Ste 355
Houston, TX 77055-4280
Phone (832) 487-9872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617000198 TX Part B Supplier - Clinic/Group Practice 8123440336 Receives reassigned benefits from 9 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Exceptional Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16310 Tomball Pkwy
Ste 1601
Houston, TX 77064
Phone (832) 487-9872

7676 Hillmont St
Ste 230
Houston, TX 77040

9610 Long Point Rd
Houston, TX 77055
Phone (832) 487-9872

9610 Long Point Rd
Ste 110
Houston, TX 77055
Phone (832) 487-9872

9610 Long Point Rd
Ste 120
Houston, TX 77055
Phone (832) 487-9872

9610 Long Point Rd
Ste 355
Houston, TX 77055
Phone (832) 487-9872

25145 Star Ln
Ste 401
Katy, TX 77494

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1831440239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 LONG POINT RD STE 355",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554280",
            "telephone_number": "832-487-9872",
            "fax_number": "832-487-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 LONGPOINT RD",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "832-487-9872",
            "fax_number": "832-487-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "832-487-9872",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102041",
            "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 Nov 21, 2024; 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.