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Deactivated NPI 1942431556 Deactivated / Inactive NPI Male Practitioner

Robert J Boettger

Speech-Language Pathologist • Stafford, 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, Robert Boettger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 30, 2009
NPI Deactivation Date January 22, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Robert Boettger was a registered Speech-Language Pathologist practicing in Stafford, TX. Throughout an active medical career spanning 17 years, Robert Boettger provided care at the practice location at 12371 S KIRKWOOD RD until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

12371 S Kirkwood Rd

Stafford, TX 774772836

Telephone 7139959292
Fax 7139954402
Associated Practice Facility / Clinic
🏢 Medcare Pediatric Therapy, Lp Facility NPI 1982651410

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Stafford, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
70 Specialists

Practicing in Stafford, TX (17210 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 14927

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

40 Associated Practitioners
Ari Alber

Specialist/Technologist - Speech-Language Assistant

NPI 1003297284
Bonnie Porter , LVN

Licensed Vocational Nurse

NPI 1003316522

Licensed Vocational Nurse

Nwabugo Ezeocha , RN

Registered Nurse

NPI 1003382615

Registered Nurse

Tricia Davis , RN

Case Manager/Care Coordinator

NPI 1013152735

Registered Nurse

Roberta Smith

Speech-Language Pathologist

NPI 1013235662
Kristen More , SLP

Speech-Language Pathologist

NPI 1013365741

Speech-Language Pathologist

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active July 30, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2009

Registered at 12371 S KIRKWOOD RD, STAFFORD, TX 774772836 (Tel: 7139959292)

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Updated Business Mailing Address July 30, 2009

Registered at 12371 S KIRKWOOD RD, STAFFORD, TX 774772836 (Tel: 7139959292)

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Provider Name / Credentials Updated July 30, 2009

Recorded as ROBERT BOETTGER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2009

Speech-Language Pathologist (License #14927 in TX)

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Initial NPI Registration & Enumeration July 30, 2009

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: 1942431556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2009
Last Update: July 30, 2009
Deactivation Date: January 22, 2026

Mailing Address

12371 S Kirkwood Rd

Stafford, TX 774772836

Phone: 7139959292

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.