EPIC PEDIATRIC THERAPY, LP. (NPI# 1013163377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013163377 |
| Entity Type | Organization |
| Organization Name | EPIC PEDIATRIC THERAPY, LP. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
9616 N Lamar Blvd Suite 105 Austin TX 78753-4152 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 5125279608 |
| Practice Fax Number | 5125279618 |
| Mailing Telephone | 7702488740 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
648140024 | TX | Ambulatory Health Care Facilities |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
648140002 | TX | Ambulatory Health Care Facilities |
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
67-6535 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| Street Address |
9616 N LAMAR BLVD SUITE 105 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235218082 | Lee Nguyen Vu | Optometrist | 9616 N Lamar Blvd, Ste. 159, Austin, TX 78753-4150 | 2006-11-03 |
| 1245798693 | Lydia James | Occupational Therapist | 9616 N Lamar Blvd, #105, Austin, TX 78753 | 2019-03-05 |
| 1497228472 | Helen Fredericka Long | Speech-Language Pathologist | 9616 N Lamar Blvd, Austin, TX 78753-4152 | 2019-01-02 |
| 1821506429 | Tori Drew | Speech-Language Pathologist | 9616 N Lamar Blvd, Austin, TX 78753-4152 | 2018-01-17 |
| 1831541465 | Leonides Gomez Jr. | Specialist/Technologist | 9616 N Lamar Blvd, Suite 105, Austin, TX 78753-4152 | 2016-07-07 |
| 1659751568 | Patricia Sanders | Occupational Therapist | 9616 N Lamar Blvd, 105, Austin, TX 78753-4152 | 2015-06-05 |
| 1861719155 | Mi Familia Medical Pllc | General Practice | 9616 N Lamar Blvd, Austin, TX 78753-4152 | 2010-04-26 |
| 1285873232 | Lamar Dental Center | Dentist | 9616 N Lamar Blvd, Ste 162, Austin, TX 78753-4152 | 2009-02-16 |
| 1023236510 | Phuong N Nguyen | Dentist | 9616 N Lamar Blvd, #162, Austin, TX 78753-4152 | 2007-04-23 |
| 1194850347 | Shelly Chicoine Hogan | Chiropractor | 9616 N Lamar Blvd, Ste. 180, Austin, TX 78753-4152 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699282657 | Oci Acquisition LLC | Clinic/Center | 12708 Riata Vista Cir Ste A-105, Austin, TX 78727-7167 | 2017-12-29 |
| 1861822546 | Extra Credit LLC | Clinic/Center | 8820 Business Park Dr, #300, Austin, TX 78759-7456 | 2013-11-18 |
| 1083870778 | Mary Lee Foundation | Clinic/Center | 1339 Lamar Square Dr, Austin, TX 78704 | 2008-08-01 |
| 1093211047 | Oci Acquisition LLC | Clinic/Center | 706a W Ben White Blvd, Austin, TX 78704-7144 | 2018-03-30 |
| 1760996169 | Oci Acquisition LLC | Clinic/Center | 12708 Riata Vista Cir Ste 106, Austin, TX 78727-7167 | 2017-11-21 |
| 1689042970 | Little Tesoros Therapy Services, LLP | Clinic/Center | 9101 Burnet Rd, #103, Austin, TX 78758-5254 | 2015-09-03 |
| 1629245394 | Acupuncture & Rehab Clinic of Austin Pllc | Clinic/Center | 2312 Western Trails Medical Center, Suite 401, Austin, TX 78745 | 2008-05-13 |
| 1447446240 | Rehabcare | Clinic/Center | 4100 Jackson Ave, Austin, TX 78731-6056 | 2007-09-14 |
| 1952596371 | Austin Total Halthcare | Clinic/Center | 4320 James Casey St, Austin, TX 78745-1109 | 2007-09-10 |
| 1952500878 | Pedi Spot LLC | Clinic/Center | 9607 Research Blvd, Suite 675, Austin, TX 78759-5691 | 2007-07-11 |
| Find all providers in AUSTIN | ||||
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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.