C OF C PEDIATRICS, LLC (NPI# 1407250673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407250673 |
| Entity Type | Organization |
| Organization Name | C OF C PEDIATRICS, LLC |
| Other Organization Name | C OF C PEDIATRICS |
| Practice Address |
4553 N Loop 1604 W 1119 San Antonio TX 78249-1363 |
| Practice Telephone | 2106989844 |
| Practice Fax Number | 2106983220 |
| Mailing Telephone | 2106989844 |
| Mailing Fax Number | 2106983220 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | MJ LUCE (DIRECTOR OF MARKETING) |
| Authorized Official Telephone | 2106989844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| C of C Pediatrics | Doing Business As Name - Organization |
| Street Address |
4553 N LOOP 1604 W 1119 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053526905 | Joshua Aubrey Austin | Dentist | 4553 N Loop 1604 W, Suite 1211, San Antonio, TX 78249-1363 | 2007-05-14 |
| 1174003206 | Donna Ann King | Occupational Therapy Assistant | 4553 N Loop 1604 W, San Antonio, TX 78249 | 2018-08-17 |
| 1851870844 | Carmen H Chelmis | Specialist/Technologist | 4553 N Loop 1604 W, San Antonio, TX 78249-1363 | 2018-08-09 |
| 1376021956 | Angela Krech | Speech-Language Pathologist | 4553 N Loop 1604 W, San Antonio, TX 78249-1363 | 2018-08-05 |
| 1780050286 | San Antonio Eyeworks Pllc | Clinic/Center | 4553 N Loop 1604 W, San Antonio, TX 78249 | 2015-08-19 |
| 1831448240 | Pinnacle Wellness | Chiropractor | 4553 N Loop 1604 W, Suite 1107, San Antonio, TX 78249-1363 | 2012-08-30 |
| 1417203829 | Quoc Ho | Chiropractor | 4553 N Loop 1604 W, Suite 1107, San Antonio, TX 78249-1363 | 2012-08-03 |
| 1871862961 | Ctw Home Health Dallas, Inc. | Home Health | 4553 N Loop 1604 W, Suite 1119, San Antonio, TX 78249-1363 | 2011-12-20 |
| 1689865024 | Ctw Home Health, Inc. | Home Health | 4553 N Loop 1604 W, Ste # 1119, San Antonio, TX 78249 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679725 | Haley Brawner Warren | Speech-Language Pathologist | 5800 Broadway Ste 106, San Antonio, TX 78209-5257 | 2020-11-04 |
| 1578162749 | Kara Boynton | Speech-Language Pathologist | 6025 Fountainwood Dr # B, San Antonio, TX 78233-4417 | 2020-10-20 |
| 1386258796 | Kanika Lynn Washington | Speech-Language Pathologist | 24115 Vecchio, San Antonio, TX 78260-3520 | 2020-09-02 |
| 1659983294 | Roxanne Litman | Speech-Language Pathologist | 18211 Bulverde Rd Apt 18106, San Antonio, TX 78259-3728 | 2020-08-17 |
| 1881202828 | Margaret Jean Doran | Speech-Language Pathologist | 718 Barchester Dr, San Antonio, TX 78216-6121 | 2020-07-15 |
| 1366066508 | Michele Ruth Scribner | Speech-Language Pathologist | 814 Arion Pkwy, San Antonio, TX 78216-2835 | 2020-06-03 |
| 1760006159 | Lisa Cowling Tschirhart | Speech-Language Pathologist | 9901 W Ih 10 Ste 615, San Antonio, TX 78230-2246 | 2020-06-02 |
| 1477175529 | Rebecca Creek Speech & Language Center Pllc | Speech-Language Pathologist | 25622 Texas Ash, San Antonio, TX 78261-2461 | 2020-05-12 |
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1528699295 | Veronica Leal Botello | Speech-Language Pathologist | 19950 Huebner Rd Apt 1409, San Antonio, TX 78258-3299 | 2020-01-30 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.