SUPER COOL KIDS THERAPY, LLC (NPI# 1053560110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053560110 |
| Entity Type | Organization |
| Organization Name | SUPER COOL KIDS THERAPY, LLC |
| Practice Address |
14175 W Indian School Rd Suite B4-521 Goodyear AZ 85395-8407 |
| Practice Telephone | 6232621199 |
| Enumeration Date | 2008-09-14 |
| Last Update Date | 2008-09-14 |
| Authorized Official Name | LOU KREJCI (OWNER) |
| Authorized Official Telephone | 6232621199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
14175 W INDIAN SCHOOL RD SUITE B4-521 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188489 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2006-07-02 |
| 1740880376 | Gina Danielle Horton | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2020-11-01 |
| 1508402124 | Momentum Physical Therapy, Pllc | Physical Therapist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2019-11-19 |
| 1497267975 | Julie Marie Acosta | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2017-10-24 |
| 1891237707 | Judy Dang | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2016-11-09 |
| 1700328762 | Matthew Keller | Optometrist | 14175 W Indian School Rd, Suite B9, Goodyear, AZ 85395-8407 | 2016-11-08 |
| 1487020905 | Ashlie Kucera | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2015-08-19 |
| 1093050791 | Eshani Udayanthi O'daniel | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2012-12-06 |
| 1245581248 | Krystal L Hicks | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2012-10-01 |
| 1699051078 | Josephine C. Ferretti | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2011-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340293 | Lit Health Solutions | Clinic/Center | 16809 W Monroe St, Goodyear, AZ 85338-2806 | 2019-11-10 |
| 1760718621 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 13481 W Mcdowell Rd Ste 100, Goodyear, AZ 85395-2720 | 2009-10-28 |
| 1952516916 | 1st Choice Phlebotomy Service | Clinic/Center | 4306 N 180th Dr, Goodyear, AZ 85395-5203 | 2007-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1962013474 | Stable Foundations Therapy Pllc | Clinic/Center | 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589 | 2020-08-10 |
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
| 1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
| 1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
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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.