PEDIATRIC THERAPY, INC. (NPI# 1427696178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427696178 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY, INC. |
| Practice Address |
4601 66th St Ste D Lubbock TX 79414-4875 |
| Mailing Address |
9011 Mountain Ridge Dr Ste 130 Austin TX 78759-7394 |
| Practice Telephone | 8668321708 |
| Practice Fax Number | 8887984391 |
| Mailing Telephone | 8552684098 |
| Mailing Fax Number | 8663119885 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | JAMES M CLARK (VICE PRESIDENT OF OPERARATIONS) |
| Authorized Official Telephone | 8668321708 |
| 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 |
|---|---|---|---|---|
| 1902444631 | Pediatric Therapy, Inc. | Clinic/Center | 1302 Teasley Ln Ste D, Denton, TX 76205-7946 | 2019-12-12 |
| 1326407164 | Pediatric Therapy, Inc. | Occupational Therapist | 990 Gill Rd, Batesville, AR 72501-7857 | 2016-02-22 |
| 1255492864 | Pediatric Therapy, Inc. | Occupational Therapist | 4601 66th Street, Suite D, Lubbock, TX 79414 | 2006-12-13 |
| Street Address |
4601 66TH ST STE D |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437388790 | Michelle Lynn Burnett | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2009-07-08 |
| 1346847381 | Cristi Props | Occupational Therapist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-10-02 |
| 1942816558 | Enrique Gonzalez | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-09-18 |
| 1528673936 | Allison Ruthart | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-09-11 |
| 1316552730 | Blayke Drury | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-09-11 |
| 1497387583 | Fabiola Pena | Occupational Therapist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-02-07 |
| 1235788043 | Evelyn Alvarez | Occupational Therapy Assistant | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-09-05 |
| 1093369829 | Sydney Travis | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-07-30 |
| 1912559378 | Meagan Brooke Mcbride | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-07-15 |
| 1134686256 | Dina Veliz | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043269251 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5217 82nd St, Ste 104 & 105, Lubbock, TX 79424-2827 | 2006-05-08 |
| 1417458795 | Rehabcare Group East, LLC | Clinic/Center | 6806 43rd St, Lubbock, TX 79407 | 2018-02-22 |
| 1437488202 | Onsite Ergonomics and Rehabilitation Inc. | Clinic/Center | 5606 Geneva Ave, Lubbock, TX 79413-4824 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.