Organization Active NPI

Thriving Roots Speech Therapy, LLC

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1962216945
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THRIVING ROOTS SPEECH THERAPY, LLC
Practice address
1322 Space Park Dr Ste C105D
Houston, TX 77058-3557
Phone
(346) 579-9054
NPI assigned
Feb 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Mrs. San Juanita Reed, M.S., CCC-SLP, QOM
Title
Speech Language Pathologist
Phone
(346) 579-9054

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1322 Space Park Dr Ste C105D
Houston, TX 77058-3557

Mailing address

1322 Space Park Dr Ste C105D
Houston, TX 77058-3557
Phone (346) 579-9054

National Provider Directory

National Provider Directory

Locations

1322 Space Park Dr
Ste C105D
Houston, TX 77058
Phone (346) 579-9054

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": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1962216945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR STE C105D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583557",
            "telephone_number": "346-579-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR STE C105D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583557",
            "telephone_number": "346-579-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING ROOTS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SAN JUANITA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "346-579-9054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP, QOM"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.