Individual provider Active NPI

Lyann Rubi De la Garza, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1962946368
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112789 Issued in TX
Practice address
3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003
Phone
(512) 399-0064
NPI assigned
Dec 5, 2016
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 112789 TX Primary

Addresses

Primary practice location

3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003

Mailing address

4700 N Taylor Rd
McAllen, TX 78504-5947
Phone (956) 755-7301

Other practice location 1

123 W Mile 3 Rd Ste A-103
Palmhurst, TX 78573-1633
Phone (956) 585-9889

Other practice location 2

100 S Juniper St
Philadelphia, PA 19107-2703
Phone (512) 399-0064

Other practice location 3

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (512) 399-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, PA, IL, WA, GA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220124001497 TX Practitioner - Qualified Speech Language Pathologist 5092044586 Reassigns benefits to 1 organization
I20220613001006 FL Practitioner - Qualified Speech Language Pathologist 5092044586 Reassigns benefits to 1 organization
I20221019001256 PA Practitioner - Qualified Speech Language Pathologist 5092044586 Reassigns benefits to 1 organization
I20221122003246 IL Practitioner - Qualified Speech Language Pathologist 5092044586 Reassigns benefits to 1 organization
I20231020001432 WA Practitioner - Qualified Speech Language Pathologist 5092044586 Reassigns benefits to 1 organization
I20260108002470 GA Practitioner - Qualified Speech Language Pathologist 5092044586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

100 S Juniper St
Philadelphia, PA 19107-2703
Phone (561) 462-3933

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

363 N Sam Houston Pkwy E
Suite 1100
Houston, TX 77060-2413
Phone (512) 377-6318

5 Revere Dr
Northbrook, IL 60062-1566
Phone (512) 399-0064

506 2ND Ave
Suite 1400
Seattle, WA 98104-2329
Phone (561) 462-3933

5555 Glenridge Connector
Suite 200
Atlanta, GA 30342-4815
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Oct 1, 2022 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jan 1, 2022 Accepting new patients

Locations

633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

5555 Glenridge Connector
Sandy Springs, GA 30342
Phone (202) 276-9478

5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516

5 Revere Dr
#One
Northbrook, IL 60062

5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (281) 698-5816

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, 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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1962946368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N TAYLOR RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045947",
            "telephone_number": "956-755-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N LAMAR BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787560003",
            "telephone_number": "512-399-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Mile 3 Rd Ste A-103",
            "address_purpose": "LOCATION",
            "city": "Palmhurst",
            "state": "TX",
            "postal_code": "785731633",
            "country_code": "US",
            "telephone_number": "956-585-9889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Juniper St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191072703",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "LYANN",
        "middle_name": "RUBI",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.