Boerne Speech Therapy, LLC
NPI 1477938942ActiveOrganization· Physical Therapist· Boerne, TX
Physical Therapist in Boerne, Texas, registered in NPPES in July 2015. The authorized official on file is Jennica Nicole Colvin, Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1477938942 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2015 |
| Last updated in NPPES | Aug 5, 2024 |
| Certified by provider | Aug 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (TX); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TX) |
|---|
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All 62 physical therapists in Boerne · All physical therapists in Texas