LAUNCH PEDIATRIC PHYSICAL THERAPY, PLLC (NPI# 1770988073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770988073 |
| Entity Type | Organization |
| Organization Name | LAUNCH PEDIATRIC PHYSICAL THERAPY, PLLC |
| Practice Address |
5904 Summerfield Dr Texarkana TX 75503-4306 |
| Practice Telephone | 9037936135 |
| Practice Fax Number | 9037930053 |
| Mailing Telephone | 9037936135 |
| Mailing Fax Number | 9037930053 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| Authorized Official Name | BENJAMIN SMITH (OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9037936135 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5904 SUMMERFIELD DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295929131 | Jami Mcrae Johnson | Speech-Language Pathologist | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2007-09-04 |
| 1225583578 | Jaclyn Nicol Wicker | Occupational Therapist | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2016-08-16 |
| 1053716571 | Kelsey Danielle Burns | Physical Therapy Assistant | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2014-10-27 |
| 1659625440 | Lauren Kneese | Physical Therapy Assistant | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2012-11-01 |
| 1942573092 | Cassaundra Ann Dearinger | Occupational Therapy Assistant | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2012-02-21 |
| 1285912667 | Kylie Danielle Hinton | Occupational Therapist | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2011-08-02 |
| 1629356027 | Pearson Pediatric Ot Services, Pllc | Occupational Therapist | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2011-08-02 |
| 1275823981 | Lori Leigh Duncan | Speech-Language Pathologist | 5904 Summerfield Dr, Texarkana, TX 75503-4306 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| 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 | ||||
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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.