Individual provider Active NPI

Alexis Espinal Liberato, CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1902429913
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117979 Issued in TX
Practice address
3030 Nacogdoches Rd Ste 108
San Antonio, TX 78217-4502
Phone
(830) 570-4492
Fax
(210) 568-4937
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 117979 TX Primary

Addresses

Primary practice location

3030 Nacogdoches Rd Ste 108
San Antonio, TX 78217-4502

Mailing address

3030 Nacogdoches Rd Ste 108
San Antonio, TX 78217-4502
Phone (830) 570-4492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426000129 TX Practitioner - Qualified Speech Language Pathologist 2466892336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HLC Speech Therapy, PLLCGroup PAC ID 1658654165, 7 clinicians

Practice addresses (Care Compare)

10715 Gulfdale St
Suite 250
San Antonio, TX 78216-3632
Phone (830) 570-4492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HLC Speech Therapy, PLLC Speech-Language Pathologist CurrentSince Mar 19, 2024 Accepting new patients
Bowen Wardlaw Speech Therapy, PLLC Speech-Language Pathologist PastSince Mar 31, 2024 Accepting new patients

Locations

3030 Nacogdoches Rd
Ste 108
San Antonio, TX 78217
Phone (210) 807-0213

10715 Gulfdale St
Ste 250
San Antonio, TX 78216
Phone (830) 570-4492

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1902429913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NACOGDOCHES RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174502",
            "telephone_number": "830-570-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NACOGDOCHES RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174502",
            "telephone_number": "830-570-4492",
            "fax_number": "210-568-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATO",
        "first_name": "ALEXIS",
        "middle_name": "ESPINAL",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.

Verify at the official NPI Registry.