PEDI SPOT LLC (NPI# 1508065426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508065426 |
| Entity Type | Organization |
| Organization Name | PEDI SPOT LLC |
| Practice Address |
545 Rowlett Rd Suite A Garland TX 75043-3700 |
| Mailing Address |
4965 Preston Park Blvd Suite 200 Plano TX 75093-5180 |
| Practice Telephone | 9722389916 |
| Practice Fax Number | 9726641840 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1053510974 | Pedi Spot LLC | Clinic/Center | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 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 |
545 ROWLETT RD SUITE A |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568715027 | Ana Maria Wolf-carrizo | Dietitian, Registered | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043-3700 | 2012-10-22 |
| 1477804359 | Daphna Shriki | Occupational Therapist | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043-3700 | 2012-10-02 |
| 1134478688 | Jennifer Leann Mitchell | Speech-Language Pathologist | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043 | 2012-08-30 |
| 1568717155 | Jacey Layne Travis | Speech-Language Pathologist | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2012-07-19 |
| 1710242334 | Andrew Steven Bowers | Speech-Language Pathologist | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2012-07-10 |
| 1659639425 | Rintu Roy Varghese | Occupational Therapist | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2012-04-30 |
| 1316243827 | Susan D Randall | Specialist/Technologist | 545 Rowlett Rd, Suite A Or B, Garland, TX 75043-3700 | 2011-01-31 |
| 1609171503 | Brooke Hart | Specialist/Technologist | 545 Rowlett Rd, Suite A & B, Garland, TX 75043-3700 | 2011-01-24 |
| 1922303924 | Whitney A Smith | Physical Therapist | 545 Rowlett Rd, Suite A &b, Garland, TX 75043-3700 | 2011-01-21 |
| 1407157274 | Elva Gray | Physical Therapy Assistant | 545 Rowlett Rd, Suite A, Garland, TX 75043-3700 | 2010-11-10 |
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|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
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| 1043273196 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 333 N Shiloh Rd, Ste 108, Garland, TX 75042-6680 | 2006-04-10 |
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| 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.