OrganizationLifespan Speech And Swallow Therapy PllcSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address20658 Stone Oak Pkwy Unit 101, San Antonio, TX 78258-7361(210) 876-5282PECOS EnrollmentBased on the most recent information from CMS, provider Lifespan Speech And Swallow Therapy Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1699438838Provider TypeOrganizationFull NameLifespan Speech And Swallow Therapy PllcSubpartNoEnumeration Date10/14/2021Last Updated10/19/2023Contact InformationPractice LocationPractice Address20658 Stone Oak Pkwy Unit 101, San Antonio, TX 78258-7361Phone(210) 876-5282Fax(210) 864-2199Mailing LocationMailing Address20658 Stone Oak Pkwy Unit 101, San Antonio, TX 78258-7361Phone(210) 876-5282Fax(210) 864-2199Authorized OfficialNameOigbokie, Katherin (Owner/Speech Pathologist)Phone(210) 876-5282Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID4310906DescriptionMedicaidIssuerUnlistedTexas