NPI 1124703327 · live from the CMS NPI Registry
Achieve Pediatric Therapy Tx LLC
Speech-Language Pathologist, in Dallas, TX. National Provider Identifier 1124703327, active.
NPI record
| NPI | 1124703327 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5050 Quorum Dr Ste 700, Dallas, TX 75254 |
| Practice phone | 877-522-4438 |
| Mailing address | 6137 N Bernard St, Chicago, IL 60659 |
| Enumerated | June 16, 2023 |
| Last updated | August 24, 2023 |
| Authorized official | Basya Goldfeder, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.