PEDIATRIC THERAPY CENTER (NPI# 1801867833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801867833 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY CENTER |
| Practice Address |
1300 Jackson St Alexandria LA 71301-6929 |
| Practice Telephone | 3184483848 |
| Practice Fax Number | 3184483953 |
| Mailing Telephone | 3184483848 |
| Mailing Fax Number | 3184483953 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. STACEY DEBEVEC (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3184483848 |
| Authorized Official Credential | LOTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1698202 | 05 | |
| LA | 1462195 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629321138 | Pediatric Therapy Center | Physical Therapy Assistant | 1166 Kane Concourse Ste 202, Bay Harbor Islands, FL 33154-2023 | 2012-10-22 |
| 1558488361 | Pediatric Therapy Center | Occupational Therapist | 1940 Bonita Dr. - Upstairs, Aptos, CA 95003 | 2007-03-25 |
| 1801933858 | Pediatric Therapy Center | Clinic/Center | 1305 Kittitas St, Wenatchee, WA 98801-3600 | 2007-01-31 |
| 1831362540 | Pediatric Therapy Center | Occupational Therapist | 8050 Soquel Dr, Suite A, Aptos, CA 95003-3981 | 2008-04-03 |
| 1396915427 | Pediatric Therapy Center | Physical Therapist | 10601 S 72nd St, Ste. 103, Papillion, NE 68046-3407 | 2008-03-04 |
| 1508067935 | Pediatric Therapy Center | Physical Therapist | 8323 Southwest Fwy, Suite 101, Houston, TX 77074-1615 | 2007-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PEDIATRIC THERAPY CENTER | 630 N Chelan Ave, Wenatchee, WA 98801 |
| Colorado Business Entities | Pediatric Therapy Center | 10601 S. 72nd St., Papillion, NE 68046 |
| Street Address |
1300 JACKSON ST |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-6929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311249 | Trivia Hammond | Technician | 1300 Jackson St, Alexandria, LA 71301-6929 | 2020-03-17 |
| 1861031882 | Tabatha Aaron | Technician | 1300 Jackson St, Alexandria, LA 71301-6929 | 2019-12-23 |
| 1578101739 | Sloan Nash | Technician | 1300 Jackson St, Alexandria, LA 71301-6929 | 2019-12-18 |
| 1487297529 | Kimberly Duhon | Technician | 1300 Jackson St, Alexandria, LA 71301-6929 | 2019-10-22 |
| 1184266165 | Shionpel Williams | Technician | 1300 Jackson St, Alexandria, LA 71301-6929 | 2019-10-11 |
| 1447415823 | Camille Luella Hodson | Speech-Language Pathologist | 1300 Jackson St, Alexandria, LA 71301-6929 | 2008-07-24 |
| 1245499318 | Melissa Williams Parker | Occupational Therapist | 1300 Jackson St, Alexandria, LA 71301-6929 | 2008-06-04 |
| 1780850859 | Crystal Leigh Rhame | Speech-Language Pathologist | 1300 Jackson St, Alexandria, LA 71301-6929 | 2008-05-07 |
| 1750555918 | Jacqueline Shawn Butler | Speech-Language Pathologist | 1300 Jackson St, Alexandria, LA 71301-6929 | 2008-04-18 |
| 1144494253 | Andrea Marie Van Buren | Speech-Language Pathologist | 1300 Jackson St, Alexandria, LA 71301-6929 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609261981 | Amian Care Services, LLC | Clinic/Center | 3600 Government St., Alexandria, LA 71302 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532603 | High Five Speech Therapy, LLC | Clinic/Center | 14427 Market North Dr, Baton Rouge, LA 70810-3639 | 2019-05-05 |
| 1588147045 | Esit, LLC | Clinic/Center | 7505 Pines Rd Ste 1200e, Shreveport, LA 71129-3935 | 2018-09-11 |
| 1568972396 | Greater Grace Charter Academy Inc | Clinic/Center | 21490b Highway 20, Vacherie, LA 70090-3614 | 2017-10-06 |
| 1851632699 | St. Nicholas Center for Children | Clinic/Center | 314 Broad St Ste B, Lake Charles, LA 70601-4224 | 2013-03-04 |
| 1003174830 | Neurological Rehabilitation Living Centers of Louisiana | Clinic/Center | 614 W 18th Ave, Covington, LA 70433-3063 | 2012-04-30 |
| 1982983870 | Therapy Center of Acadiana | Clinic/Center | 300 Park West Drive, Suite A, Scott, LA 70583 | 2011-08-09 |
| 1023151677 | Assoc for Retarded Citizens Ouachita | Clinic/Center | 901 N 4th St, Monroe, LA 71201-5909 | 2007-02-14 |
| 1902889991 | Beauregard Arc | Clinic/Center | 1209 W Shirley St, Deridder, LA 70634 | 2005-11-22 |
| 1134738511 | Attentive Residences | Clinic/Center | 31 Curtis Dr, New Orleans, LA 70126-1660 | 2020-07-30 |
| 1508252834 | Amian Care Services, LLC | Clinic/Center | 1454 Surrey St., Lafayette, LA 70501 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.