BUILDING KID STEPS, LLC (NPI# 1811327109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811327109 |
Entity Type | Organization |
Organization Name | BUILDING KID STEPS, LLC |
Practice Address |
4208 Retama Cir Suite 4 Victoria TX 77901-2765 |
Mailing Address |
4208 Retama Cir Bldg Suite Victoria TX 77901-2765 |
Practice Telephone | 3615782257 |
Practice Fax Number | 3615782260 |
Mailing Telephone | 3615782257 |
Mailing Fax Number | 3615782260 |
Enumeration Date | 2013-11-22 |
Last Update Date | 2019-11-01 |
Authorized Official Name | AMANDA LUDDEKE (OWNER) |
Authorized Official Telephone | 3616488147 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 350736001 | 05 |
Street Address |
4208 RETAMA CIR SUITE 4 |
City | VICTORIA |
State | TX |
Zip Code | 77901-2765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518997949 | Jrjs Healthcare Operations LLC | Clinic/Center | 4208 Retama Cir, Victoria, TX 77901-2765 | 2006-07-03 |
1114572187 | Hatch Ventures, LLC | Behavioral Analyst | 4208 Retama Cir, Victoria, TX 77901-2765 | 2019-08-07 |
1659923837 | Stacey Perez | Speech-Language Pathologist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2019-07-09 |
1730641309 | Peyton Ratliff Speed | Occupational Therapist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2019-04-03 |
1790161461 | Larae Wieland | Speech-Language Pathologist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2015-08-05 |
1689096539 | Kevin Dale Lange | Physical Therapist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2014-01-13 |
1841626371 | Ashley Fay Hermes | Occupational Therapist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2013-09-16 |
1265786537 | Brianne Lynn Harryman | Physical Therapist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2012-11-07 |
1821357393 | Krystal Perez | Speech-Language Pathologist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2012-05-03 |
1679832141 | Linda Victoria Gomez | Physical Therapist | 4208 Retama Cir, Victoria, TX 77901-2765 | 2012-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
Find all providers in zip 77901 |
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 |
---|---|---|---|---|
1518997949 | Jrjs Healthcare Operations LLC | Clinic/Center | 4208 Retama Cir, Victoria, TX 77901-2765 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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.