Individual provider Active NPI

Shelly Jeanette Margiotta, M.S. SLP

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1952532699
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113254 Issued in TX
Practice address
5101 Forest Grove LN
Plano, TX 75093-7510
Phone
(405) 850-0612
NPI assigned
Jul 29, 2009
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113254 TX Primary
Speech-Language Pathologist 235Z00000X 2019 OK

Addresses

Primary practice location

5101 Forest Grove LN
Plano, TX 75093-7510

Mailing address

3041 Quail Creek Rd
Oklahoma City, OK 73120-1915
Phone (405) 751-4554

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2019OKMDOccupational Therapy Assistant
113254TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Top Pediatric Therapy, PC. Past Accepting new patients

Organizations & group practices 1

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1952532699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 QUAIL CREEK RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201915",
            "telephone_number": "405-751-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST GROVE LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937510",
            "telephone_number": "405-850-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGIOTTA",
        "first_name": "SHELLY",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113254",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.