Individual provider Active NPI

Gabriella Rae Cantu

  • Speech-Language Pathologist
  • Mission, TX
National Provider Identifier
1871103739
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116916 Issued in TX
Practice address
2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone
(956) 580-2023
Fax
(956) 580-2023
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 116916 TX Primary

Addresses

Primary practice location

2504 E Griffin Pkwy
Mission, TX 78572-3348

Mailing address

6509 N 34TH St
McAllen, TX 78504-5811
Phone (956) 867-0587

Other practice location 1

7600 W Expressway 83 Ste 4&5
Mission, TX 78572-2063
Phone (956) 581-7171

Other practice location 2

316 Conquest Ste 100
Edinburg, TX 78539-3012
Phone (956) 380-6200

Other practice location 3

2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone (956) 519-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116916TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Care Rehab Services, PLLC PastSince Jul 19, 2020 Accepting new patients
Thera-Care Rehab Services, PLLC Past Accepting new patients
Thera-Care Rehab Services, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1871103739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 N 34TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045811",
            "telephone_number": "956-867-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-580-2023",
            "fax_number": "956-580-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 W Expressway 83 Ste 4&5",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785722063",
            "country_code": "US",
            "telephone_number": "956-581-7171",
            "fax_number": "956-581-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Conquest Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785393012",
            "country_code": "US",
            "telephone_number": "956-380-6200",
            "fax_number": "956-380-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 E Griffin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723348",
            "country_code": "US",
            "telephone_number": "956-519-2700",
            "fax_number": "956-519-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "GABRIELLA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.