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Deactivated NPI 1639265986 Deactivated / Inactive NPI Female Practitioner

Mary Irene Burtis , MSCCC-SLP

Speech-Language Pathologist • Dallas, 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, Mary Burtis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2006
NPI Deactivation Date January 18, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Mary Burtis, MSCCC-SLP was a registered Speech-Language Pathologist practicing in Dallas, TX. Throughout an active medical career spanning 17 years, Mary Burtis provided care at the practice location at 5925 FOREST LN until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

5925 Forest Ln
Suite 136

Dallas, TX 752302712

Telephone 9726615157
Fax 9726615173
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
960 Specialists

Practicing in Dallas, TX (17210 Statewide)

Telehealth Adoption Rate
0.8% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 11367

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Marguerite Burtis , MS, CCC-SLP

Speech-Language Pathologist

NPI 1457467706

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Julie Noel , MS, CCC-SLP

Speech-Language Pathologist

NPI 1699834242

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

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 January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 5925 FOREST LN, SUITE 136, DALLAS, TX 752302712 (Tel: 9726615157)

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Updated Business Mailing Address July 09, 2007

Registered at 5925 FOREST LN, SUITE 136, DALLAS, TX 752302712 (Tel: 9726615157)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MARY BURTIS, M.S.CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #11367 in TX)

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Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639265986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 09, 2007
Deactivation Date: January 18, 2023

Mailing Address

5925 Forest Ln, Suite 136

Dallas, TX 752302712

Phone: 9726615157

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

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