1. Home
  2. Directory
  3. Texas
  4. Prosper
  5. Speech Language Pathologist
  6. NPI Profile

BOOM PEDIATRIC THERAPY
NPI 1356042683
Speech-Language Pathologist in Prosper, TX

Active since March 14, 2023
1428 CARNATION ST, PROSPER, TX 75078(469) 268-9010 Get Directions Write a Review

NPPES record last updated: November 25, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 25, 2023, Aug 20, 2023, Jul 8, 2023 and 1 more (4 updates tracked since 2023).

About Boom Pediatric Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOOM PEDIATRIC THERAPY (NPI 1356042683) is a healthcare organization registered as a speech-language pathologist in Prosper, Texas and active in the NPI registry since March 2023. The organization lists Christian Rivera-perez, Owner, as its authorized official.

NPPES Registry Identity

NPI1356042683
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBOOM PEDIATRIC THERAPY
Location Address1428 CARNATION STProsper, TX 75078-9779
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298 · (469) 268-9010
Phone(469) 268-9010
Organization SubpartNo
Authorized OfficialChristian Rivera-perezOwner · (469) 268-9010
Enumeration DateMarch 14, 2023
Last NPPES UpdateNovember 25, 20234 updates tracked since enumeration
NPPES CertifiedNovember 25, 2023
✔ NPI 1356042683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
1428 CARNATION ST, Prosper, TX 75078
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boom Pediatric Therapy's NPI number?

The NPI number for Boom Pediatric Therapy is 1356042683. It was assigned to this organization in the NPPES registry on March 14, 2023.

Where is Boom Pediatric Therapy located?

Boom Pediatric Therapy is located at 1428 Carnation St, Prosper, TX 75078. The listed phone number is (469) 268-9010.

What is Boom Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Boom Pediatric Therapy accept?

Health plans from Blue Cross and Blue Shield of Texas list Boom Pediatric Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boom Pediatric Therapy was last updated on November 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.