NPIMap

Organization Active NPI

Educare Therapy, LLC

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1922440957
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107073 Issued in TX
Legal business name
EDUCARE THERAPY, LLC
Practice address
11751 Alta Vista Rd
Ste 303
Fort Worth, TX 76244-6441
Phone
(817) 717-3800
Fax
(888) 234-6493
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Heather Simpson, M.S., CCC-SLP
Title
Speech-Language Pathologist/Owner
Phone
(817) 717-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 107073 TX Primary

Addresses

Primary practice location

11751 Alta Vista Rd
Ste 303
Fort Worth, TX 76244-6441

Mailing address

11751 Alta Vista Rd
Ste 303
Fort Worth, TX 76244-6441
Phone (817) 717-3800

Other identifiers 1

IdentifierTypeStateIssuer
314560901MedicaidTX

National Provider Directory

National Provider Directory

Locations

11751 Alta Vista Rd
Ste 303
Fort Worth, TX 76244
Phone (817) 717-3800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1922440957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "STE 303",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-717-3800",
            "fax_number": "888-234-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "STE 303",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-717-3800",
            "fax_number": "888-234-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "817-717-3800",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314560901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.