PEDI SPOT LLC (NPI# 1053510974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053510974 |
| Entity Type | Organization |
| Organization Name | PEDI SPOT LLC |
| Practice Address |
4801 Troup Hwy Suite 800 Tyler TX 75703-2356 |
| Mailing Address |
4965 Preston Park Blvd Suite 200 Plano TX 75093-5180 |
| Practice Telephone | 9039392800 |
| Practice Fax Number | 9035817057 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-02-18 |
| Authorized Official Name | NEIL E. CASEY (PRESIDENT & CEO) |
| Authorized Official Telephone | 9725967700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508065426 | Pedi Spot LLC | Clinic/Center | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2007-07-11 |
| 1215136130 | Pedi Spot LLC | Clinic/Center | 6601 Montana Ave, Suite G&h, El Paso, TX 79925-2155 | 2007-07-11 |
| 1235338153 | Pedi Spot LLC | Clinic/Center | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2007-07-11 |
| 1598964413 | Pedi Spot LLC | Clinic/Center | 98 Briggs St, Suite 990, San Antonio, TX 78224-1287 | 2007-07-11 |
| 1952500878 | Pedi Spot LLC | Clinic/Center | 9607 Research Blvd, Suite 675, Austin, TX 78759-5691 | 2007-07-11 |
| Street Address |
4801 TROUP HWY SUITE 800 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679564314 | Vivian S Kemp | Counselor | 4801 Troup Hwy, Suite 301, Tyler, TX 75703-2356 | 2005-11-02 |
| 1952707556 | Wilson Renfroe, Psyd, Pllc | Psychologist | 4801 Troup Hwy, Suite 502, Tyler, TX 75703-2356 | 2014-11-08 |
| 1144622283 | Veronika Bailey | Speech-Language Pathologist | 4801 Troup Hwy, Ste 800, Tyler, TX 75703-2356 | 2014-09-19 |
| 1407191349 | Louise Ann Star | Occupational Therapy Assistant | 4801 Troup Hwy, Suite800, Tyler, TX 75703-2356 | 2012-12-04 |
| 1295070472 | Martha Phillips | Occupational Therapy Assistant | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2012-11-29 |
| 1891049045 | Shauna Kay Brown | Occupational Therapist | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2012-11-08 |
| 1750635322 | Chelsey Nicole Hoffman | Physical Therapist | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2012-11-05 |
| 1447500590 | Red River Pharmacy Long Term Care, LLC | Pharmacy | 4801 Troup Hwy, Suite 402, Tyler, TX 75703-2356 | 2012-09-17 |
| 1972853513 | Alicen Stegall Taylor | Speech-Language Pathologist | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2012-09-11 |
| 1093064503 | Hannah Elisabeth Osborne | Occupational Therapist | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871654244 | East Texas Pediatric Rehabilitation Associates Inc | Clinic/Center | 1001 W Southwest Loop 323, Tyler, TX 75701-9416 | 2006-12-12 |
| 1245240365 | Ellis Rehabilitation Services, Inc. | Clinic/Center | 5609 Donnybrook Ave, Tyler, TX 75703-6111 | 2006-08-09 |
| 1205978145 | Rehabcare Group East Inc. | Clinic/Center | 3200 Troup Hwy, Suite 333, Tyler, TX 75701-8397 | 2007-02-13 |
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|---|---|---|---|---|
| 1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
| 1043827124 | Healthstar Family Rehab Center, LLC | Clinic/Center | 6800 Gateway Blvd E. Bldg 4ab, El Paso, TX 79915-1006 | 2020-09-23 |
| 1528672391 | Pro Rehab One LLC | Clinic/Center | 1929 W Us Highway 83, Rio Grande City, TX 78582-6313 | 2020-08-31 |
| 1538772488 | Optimum Kids Ltd | Clinic/Center | 1240 E Business 83 Ste A, Mission, TX 78572-9600 | 2020-08-28 |
| 1366055998 | Workfit Recovery Centre | Clinic/Center | 800 W Airport Fwy Ste 630, Irving, TX 75062-6268 | 2020-08-24 |
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1013528231 | Feel Free Pt | Clinic/Center | 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 | 2020-08-11 |
| 1285259945 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 2306 Rayford Rd Ste 200, Spring, TX 77386-1707 | 2020-06-09 |
| 1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.