BEYOND BOUNDARIES THERAPY CENTER, PLLC (NPI# 1710996335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710996335 |
| Entity Type | Organization |
| Organization Name | BEYOND BOUNDARIES THERAPY CENTER, PLLC |
| Practice Address |
704 Longmire Rd Ste 101 Conroe TX 77304-1850 |
| Practice Telephone | 9364412500 |
| Practice Fax Number | 9365392515 |
| Mailing Telephone | 9364412500 |
| Mailing Fax Number | 9365392515 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KIMBERLY STEVENSON (OWNER) |
| Authorized Official Telephone | 9364412500 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
704 LONGMIRE RD STE 101 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372375 | Suzanne Stiles | Speech-Language Pathologist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2019-08-21 |
| 1659939908 | Kalli Nicole Kallies | Occupational Therapist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2019-06-02 |
| 1154892982 | Mary Ballard Broussard | Occupational Therapist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2018-12-05 |
| 1043788052 | Ashlain Dunkin | Speech-Language Pathologist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2018-11-07 |
| 1558884874 | Karina Trujillo | Speech-Language Pathologist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2017-07-18 |
| 1174925614 | Ashley Kaye Millar | Occupational Therapist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2014-09-16 |
| 1245651397 | Abigail Dillingham | Specialist/Technologist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2013-12-16 |
| 1972851434 | Robin Lucadou | Occupational Therapy Assistant | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2012-08-15 |
| 1942558499 | Tana Wade | Speech-Language Pathologist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2012-08-15 |
| 1518214261 | Minnie Alice Baker | Occupational Therapy Assistant | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2012-08-13 |
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|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
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| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982872883 | Selous Healthcare LLC | Clinic/Center | 704 Longmire Rd, Suite 101, Conroe, TX 77304-1850 | 2008-02-13 |
| 1124175237 | Kid Potential, Inc. | Clinic/Center | 2912 W Davis St, Suite 140, Conroe, TX 77304-2041 | 2007-01-04 |
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|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
| 1376016410 | Elite 360 Health and Wellness | Clinic/Center | 1409 S Lamar, Ste. 245, Dallas, TX 75215-6818 | 2019-01-10 |
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
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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.