Active NPI
Robert J Preliasco
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1851009013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14421798
- Practice address
- 1503 Alegria Rd Unit B
Austin, TX 78757-2936 - Phone
- (401) 323-3132
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14421798 | TX | Primary |
Addresses
Primary practice location
1503 Alegria Rd Unit B
Austin, TX 78757-2936
Mailing address
1503 Alegria Rd Unit B
Austin, TX 78757-2936
Phone (401) 323-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14421798 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Frisco, TX
- NPI 1386698439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1851009013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 ALEGRIA RD UNIT B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787572936",
"telephone_number": "401-323-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 ALEGRIA RD UNIT B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787572936",
"telephone_number": "401-323-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRELIASCO",
"first_name": "ROBERT",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14421798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.