Horizons Pediatric Therapy PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HORIZONS PEDIATRIC THERAPY PLLC

Practice address

109 Carlina Loop
Liberty Hill, TX 78642-0025

Phone

(346) 531-9448

Fax

(512) 988-5459

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Tara Nicole Trott, M.S, CCC-SLPNPI 1780824680

Title

Provider

Phone

(512) 884-0175

Specialties & licenses 7

Addresses

Other identifiers 7

Other names 1

• Mobile Speech Clinic Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Tara Nicole Trott, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Liberty Hill, TX
  • NPI 1780824680
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1972920122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARLINA LOOP",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786420025",
            "telephone_number": "512-884-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARLINA LOOP",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786420025",
            "telephone_number": "346-531-9448",
            "fax_number": "512-988-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "TROTT",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "512-884-0175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744G0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Graphics Designer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TX",
            "license": "110687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13562404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS DRIVERS LICENSE",
            "identifier": "09894354",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1780824680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1Z0625",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION NUMBER",
            "identifier": "14101180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS SLP LICENSE",
            "identifier": "110687",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA SLP LICENSE",
            "identifier": "14056",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect@taranicoletrott.org",
            "affiliation": "N",
            "endpointDescription": "Secure Private Practice Email Account",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Carlina Loop",
            "city": "Liberty Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786420025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect@taranicoletrott.org",
            "affiliation": "N",
            "endpointDescription": "Secure Private Practice Email Account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider Correspondence",
            "address_1": "109 Carlina Loop",
            "city": "Liberty Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786420025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mobile Speech Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.