PEDIATRIC THERAPEAS PLLC (NPI# 1710324025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710324025 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPEAS PLLC |
| Practice Address |
4801 Troup Hwy Ste 800 Tyler TX 75703-2357 |
| Practice Telephone | 9035259130 |
| Mailing Telephone | 9035259130 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MR. DENNIS MICHAEL KRESS (OWNER) |
| Authorized Official Telephone | 9035213350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1098895 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4801 TROUP HWY STE 800 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043526601 | Ashlynn Kennard | Occupational Therapy Assistant | 4801 Troup Hwy Ste 800, Tyler, TX 75703-2357 | 2010-08-20 |
| 1427453810 | Kelly Davis | Speech-Language Pathologist | 4801 Troup Hwy Ste 800, Tyler, TX 75703-2357 | 2014-10-28 |
| 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 | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173563 | Mary Flores | Physical Therapist | 3200 Troup Hwy Ste 120, Tyler, TX 75701-8364 | 2013-10-24 |
| 1649465444 | Kristi Killian Smith | Physical Therapist | 1001 W Sw Loop 323, Tyler, TX 75701-9416 | 2007-09-14 |
| 1730644105 | Glynna Tarrant Mcguffey | Physical Therapist | 921 Shiloh Rd Ste C120, Tyler, TX 75703-1407 | 2019-02-09 |
| 1972980779 | Katie Lynn Wilson | Physical Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2015-04-30 |
| 1396143327 | Paul Molina | Physical Therapist | 100 E Ferguson St, Suite 1204, Tyler, TX 75702-5759 | 2014-12-08 |
| 1760808612 | Lisa Chance | Physical Therapist | 100 E Ferguson St, Suite 1204, Tyler, TX 75702-5759 | 2014-03-14 |
| 1750591012 | Thomas J Herman | Physical Therapist | 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271472 | Brain & Body Boost, LLC | Physical Therapist | 4360 Bristleleaf Ln, Prosper, TX 75078-1218 | 2020-09-25 |
| 1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
| 1518572171 | Kathryn Elizabeth Hill | Physical Therapist | 8603 Broadway St Ste 170, Pearland, TX 77584-8171 | 2020-09-10 |
| 1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
| 1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
| 1811510597 | Amanda Medina Calimbas | Physical Therapist | 1019 Warm Summer Dr, Richmond, TX 77406-2732 | 2020-05-28 |
| 1720600513 | Ll Pediatric Therapy LLC | Physical Therapist | 11200 Lakeline Mall Dr Ste Do5a, Cedar Park, TX 78613-1501 | 2020-05-14 |
| 1922620822 | Toddler Town Rehab, LLC | Physical Therapist | 5219 S Mccoll Rd Ste D, Edinburg, TX 78539-3168 | 2020-05-13 |
| 1083240790 | Assiduous Healthcare Group, LLC | Physical Therapist | 1300 Lowe Rd Unit 1301, Mansfield, TX 76063-8725 | 2020-03-14 |
| 1245865823 | Brandon Krinock | Physical Therapist | 12349 Metric Blvd Apt 1125, Austin, TX 78758-2537 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC THERAPEAS PLLC.
| 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.