Deactivated NPI 1871960088 Deactivated / Inactive NPI Male Practitioner

Sergio Ibarra

Specialist/Technologist - Speech-Language Assistant • Brownsville, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sergio Ibarra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2015

NPI Deactivation Date November 17, 2021

Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Sergio Ibarra was a registered Specialist/Technologist - Speech-Language Assistant practicing in Brownsville, TX. Throughout an active medical career spanning 6 years, Sergio Ibarra provided care at the practice location at 871 OLD ALICE RD until profile deactivation on 2021-11-17.

Practice Location & Contact Primary Location

Practice Address

871 Old Alice Rd
Suite 600

Brownsville, TX 785208268

Telephone 9565412102

Fax 9565412502

Associated Practice Facility / Clinic

🏢 Mercy Rehab Services Inc. Facility NPI 1508821406

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Brownsville, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 3.0 Yrs

Regional Practice Density

80 Specialists

Practicing in Brownsville, TX (3463 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 36598

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Christina Garza

Student in an Organized Health Care Education/Training Program

NPI 1003289984

Dallan Cruz Constantino , OTR, L

Occupational Therapist - Pediatrics

NPI 1003484775

Occupational Therapist Registered, L

Cynthia Rodriguez

Occupational Therapy Assistant

NPI 1003794363

Vanessa Abraham , PT

Physical Therapist

NPI 1013063148

Physical Therapist

Diego Garcia

Occupational Therapy Assistant

NPI 1013461052

Jose Bueno , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1023164043

Speech-Language Pathology Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated November 17, 2021

Record deactivated on November 17, 2021

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NPI Profile Active August 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2015

Registered at 871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 785208268 (Tel: 9565412102)

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Updated Business Mailing Address August 24, 2015

Registered at 871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 785208268 (Tel: 9565412102)

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Provider Name / Credentials Updated August 24, 2015

Recorded as SERGIO IBARRA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2015

Specialist/Technologist (License #36598 in TX)

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Initial NPI Registration & Enumeration August 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1871960088

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 24, 2015

Last Update: August 24, 2015

Deactivation Date: November 17, 2021

Update or Correct Profile

Mailing Address

871 Old Alice Rd, Suite 600

Brownsville, TX 785208268

Phone: 9565412102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.