Organization Active NPI

Independence Therapy LLC

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1982238390
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INDEPENDENCE THERAPY LLC
Practice address
8700 Menchaca Rd
Suite 501
Austin, TX 78748
Phone
(512) 579-0022
Fax
(512) 904-7509
NPI assigned
Feb 24, 2020
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Emily Louise McCoy Iverson
Title
Owner
Phone
(713) 377-2162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

8700 Menchaca Rd
Suite 501
Austin, TX 78748

Mailing address

8700 Menchaca Rd
Suite 501
Austin, TX 78748
Phone (512) 579-0022

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 512-904-7509

National Provider Directory

National Provider Directory

Locations

8700 Menchaca Rd
Ste 501
Austin, TX 78748
Phone (512) 579-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1982238390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MENCHACA RD",
            "address_2": "SUITE 501",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-579-0022",
            "fax_number": "512-904-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MENCHACA RD",
            "address_2": "SUITE 501",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-579-0022",
            "fax_number": "512-904-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "LOUISE MCCOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-377-2162"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "512-904-7509",
            "affiliation": "N",
            "address_1": "1207 Vargas Rd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787413563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 31, 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.