AMAZING REC THERAPY, LLC (NPI# 1649801283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649801283 |
| Entity Type | Organization |
| Organization Name | AMAZING REC THERAPY, LLC |
| Practice Address |
4830 Wilson Rd Ste 300-1027 Humble TX 77396-1971 |
| Practice Telephone | 6194159462 |
| Mailing Telephone | 6194159462 |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-02-02 |
| Authorized Official Name | REQUEL PACE (FOUNDER/CEO) |
| Authorized Official Telephone | 6194159462 |
| Authorized Official Credential | MS, CTRS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4830 WILSON RD STE 300-1027 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871969 | Requel Pace | Recreation Therapist | 4830 Wilson Rd Ste 300-1027, Humble, TX 77396-1971 | 2020-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
| Find all providers in zip 77396 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905816 | Ideal Recreational Therapies | Recreation Therapist | 19800 Kenswick Dr Apt 823, Humble, TX 77338-2159 | 2020-06-04 |
| 1346871969 | Requel Pace | Recreation Therapist | 4830 Wilson Rd Ste 300-1027, Humble, TX 77396-1971 | 2020-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480250 | Shanteria Onyemem | Recreation Therapist | 3811 Glade Hill Ln, Richmond, TX 77407-3244 | 2020-09-01 |
| 1730790387 | Joan R Lamayo-buse | Recreation Therapist | 1853 Yount Cir, San Antonio, TX 78236-1007 | 2020-08-16 |
| 1881202240 | Brittany Danielle Lundeen | Recreation Therapist | 10320 Boulder Ln Apt 1317, Austin, TX 78726-1865 | 2020-07-21 |
| 1184247645 | Joel Stephen Caltrider | Recreation Therapist | 3354 Putnam Flds, Converse, TX 78109-3808 | 2020-05-19 |
| 1396367405 | Caressa Blackman | Recreation Therapist | 5810 Utsa Blvd Apt 4202, San Antonio, TX 78249-4094 | 2020-05-12 |
| 1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
| 1083246862 | Meghan Elizabeth Scott | Recreation Therapist | 110 Contour Dr, Kerrville, TX 78028-6202 | 2020-02-10 |
| 1972135168 | Amanda Petri | Recreation Therapist | 1978 Kalli Jo Ln, New Braunfels, TX 78130-1960 | 2020-02-06 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1114562923 | Tonya Dunn | Recreation Therapist | 9898 Bissonnet St Ste 252-h, Houston, TX 77036-8270 | 2019-11-15 |
| 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.