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Active NPI 1790657799 Individual Practitioner Male Practitioner

Ethan Dean Lush

Speech-Language Pathologist • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Ethan Lush is a registered healthcare professional specializing in Speech-Language Pathologist in San Antonio, TX. Practice services are available at 1202 E SONTERRA BLVD BLDG 6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1202 E Sonterra Blvd Bldg 6

San Antonio, TX 782584089

Telephone 2108910800

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1198 Specialists

Practicing in San Antonio, TX (17210 Statewide)

Telehealth Adoption Rate
0.3% 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

CMS Verified: 2025-09-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 124511

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

8 Associated Practitioners
Analise Mendeola

Behavior Analyst

NPI 1023765724
Ricky Miller

Behavior Technician

NPI 1033877337
NPI 1104610435

Physical Therapist, Doctor of Physical Therapy

Cassandra Corraya

Behavior Technician

NPI 1225791510
Marlynne Faison , BCBA

Behavior Analyst

NPI 1245998848

Board Certified Behavior Analyst

Audra Rios

Behavior Technician

NPI 1407514003

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2025

Registered at 1202 E SONTERRA BLVD BLDG 6, SAN ANTONIO, TX 782584089 (Tel: 2108910800)

📍
Updated Business Mailing Address September 19, 2025

Registered at 4092 TPC PKWY APT 436, SAN ANTONIO, TX 782612922

👤
Provider Name / Credentials Updated September 19, 2025

Recorded as ETHAN LUSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Speech-Language Pathologist (License #124511 in TX)

🟢
Initial NPI Registration & Enumeration September 19, 2025

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: 1790657799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2025
Last Update: September 19, 2025
Sole Proprietor: No

Mailing Address

4092 Tpc Pkwy Apt 436

San Antonio, TX 782612922

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.