NPIMap

Organization Active NPI

Hometown Therapy, PLLC

  • Speech-Language Pathologist
  • Bridge City, TX
National Provider Identifier
1841953346
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HOMETOWN THERAPY, PLLC
Practice address
870 Center St
Bridge City, TX 77611-2527
Phone
(409) 988-3429
Fax
(409) 600-8521
NPI assigned
Oct 21, 2021
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Olivia Paige Psencik, M.S. CCC-SLPNPI 1346651106
Title
Speech Pathologist
Phone
(409) 988-3429

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

870 Center St
Bridge City, TX 77611-2527

Mailing address

8920 Hollis Road
Orange, TX 77630
Phone (409) 988-3429

Other practice location 1

8920 Hollis Road
Orange, TX 77630
Phone (409) 988-3429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220520002068 TX Part B Supplier - Clinic/Group Practice 4789061292 Receives reassigned benefits from 4 practitioners
Practice locations: Bridge City, TX; Orange, TX

National Provider Directory

National Provider Directory

Locations

870 Center St
Bridge City, TX 77611
Phone (409) 988-3429

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1841953346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 HOLLIS ROAD",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "77630",
            "telephone_number": "409-988-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CENTER ST",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112527",
            "telephone_number": "409-988-3429",
            "fax_number": "409-600-8521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8920 Hollis Road",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "77630",
            "country_code": "US",
            "telephone_number": "409-988-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMETOWN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "PSENCIK",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "409-988-3429",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.