Playhouse Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PLAYHOUSE SPEECH THERAPY, PLLC

Practice address

2605 Sagebrush Dr Ste 108
Flower Mound, TX 75028-2739

Phone

(469) 771-1311

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Jency ChackoNPI 1841702958

Title

Speech Language Pathologist

Phone

(832) 540-2466

Specialties & licenses 1

Addresses

Other names 1

• Playhouse Speech Therapy Doing business as

Locations

Practitioners 1

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

• Jency Chacko

  • Speech-Language Pathologist
  • Flower Mound, TX
  • NPI 1841702958
  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1992437073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 SAGEBRUSH DR STE 108",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282739",
            "telephone_number": "469-771-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SAGEBRUSH DR STE 108",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282739",
            "telephone_number": "469-771-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4217 Marbella Dr",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750220931",
            "country_code": "US",
            "telephone_number": "832-540-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLAYHOUSE SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JENCY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "832-540-2466"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playhouse Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Playhouse Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Speech-Language Pathologist in Texas

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