Individual provider Active NPI

Rhonda Justitz Claiborne, MA CCC SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1972177533
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107732 Issued in TX
Practice address
1202 Hallmark Dr
San Antonio, TX 78216-6016
Phone
(830) 570-4492
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 107732 TX Primary

Addresses

Primary practice location

1202 Hallmark Dr
San Antonio, TX 78216-6016

Mailing address

130 Laburnum Dr
San Antonio, TX 78209-2122
Phone (214) 403-2297

Other names 1

  • Rhonda Roxanne Justitz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616003458 TX Practitioner - Qualified Speech Language Pathologist 2567862204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
107732TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HLC Speech Therapy, PLLC Speech-Language Pathologist CurrentSince Jun 11, 2021 Accepting new patients
Bowen Wardlaw Speech Therapy, PLLC Speech-Language Pathologist PastSince Dec 3, 2016 Accepting new patients

Locations

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

1202 Hallmark Dr
Ste 204
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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1972177533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LABURNUM DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092122",
            "telephone_number": "214-403-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 HALLMARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166016",
            "telephone_number": "830-570-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "RHONDA",
        "middle_name": "JUSTITZ",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "JUSTITZ",
            "middle_name": "ROXANNE",
            "credential": "MA CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 18, 2021; 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.