Push Speech Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108320 Issued in TX

Legal business name

PUSH SPEECH SERVICES LLC

Doing business as

PUSH Pediatric Speech Therapy

Practice address

4961 Long Prairie Rd Ste 110
Flower Mound, TX 75028-2794

Phone

(469) 458-7764

Fax

(972) 692-5656

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Kayla Fontenot

Title

Owner

Phone

(469) 458-7764

Specialties & licenses 1

Addresses

Other names 1

• PUSH Pediatric Speech Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claire Dyson, SLP

  • Speech-Language Pathologist
  • Flower Mound, TX
  • NPI 1013692359
  NPD (past)
• Briley Fae Ruthart

  • Speech-Language Pathologist
  • Flower Mound, TX
  • NPI 1407527757
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1891167466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 LONG PRAIRIE RD STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282794",
            "telephone_number": "469-458-7764",
            "fax_number": "972-692-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 LONG PRAIRIE RD STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282794",
            "telephone_number": "469-458-7764",
            "fax_number": "972-692-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSH SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-458-7764"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUSH Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PUSH Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Jane Puleo
• Pulsemed Medical Equipment and Supplies LLC
• Ritu Punia, (DMD)
• Pure Dental Specialist, PLLC (Flower Mound Pure Family Dental)
• Pursuit Physical Therapy, LLC
• Push Speech Services LLC (Flower Mound Speech & Therapy Center)
• Quan Zhao DMD PLLC
• Dorella Leigh Quinn, LPC
• Adriana L Quintero, LMFTA
• Keith Edwin Rachow

• Speech-Language Pathologist in Flower Mound, TX
• Providers in Flower Mound, 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 Sep 23, 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.