Taron M. Wallace, M.S., CCC-SLP
NPI 1588336788ActiveIndividual· Speech-Language Pathologist· Ft Worth, TX
Speech-Language Pathologist (M.S., CCC-SLP) with Healthpro Heritage Rehab and Fitness LLC, practicing in Ft Worth, Texas. Medicare paid $13,990 for services to 11 patients in 2024.
Overview
| NPI | 1588336788 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | No |
| NPI issued | Oct 5, 2021 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 108682 | TX |
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 Practitioner - Qualified Speech Language Pathologist (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 218 across 4 procedure codes |
| Paid by Medicare | $13,990 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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All 22 speech-language pathologists in Ft Worth · All speech-language pathologists in Texas