Active NPI
Martin Pediatric Therapy LLC
- Speech-Language Pathologist
- Pasadena, TX
National Provider Identifier
1982469714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MARTIN PEDIATRIC THERAPY LLC
- Practice address
- 3802 Cann Dr
Pasadena, TX 77503-1861 - Phone
- (832) 489-6010
- NPI assigned
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Carmen Renee Martin
- Title
- Owner
- Phone
- (832) 489-6010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3802 Cann Dr
Pasadena, TX 77503-1861
Mailing address
3802 Cann Dr
Pasadena, TX 77503-1861
Phone (832) 489-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250801003526 | TX | Part B Supplier - Clinic/Group Practice | 9436667359 |
Receives reassigned benefits from 1 practitioner Practice locations: Pasadena, TX |
National Provider Directory
National Provider DirectoryLocations
3222 Burke Rd
Ste 212A
Pasadena, TX 77504
3222 Burke Rd
Ste 109C
Pasadena, TX 77504
Phone (832) 489-6010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Pasadena, TX
- NPI 1245958297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1982469714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 CANN DR",
"city": "PASADENA",
"state": "TX",
"postal_code": "775031861",
"telephone_number": "832-489-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 CANN DR",
"city": "PASADENA",
"state": "TX",
"postal_code": "775031861",
"telephone_number": "832-489-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-489-6010",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"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 Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.