PEDIATRIC THERAPY INCORPORATED (NPI# 1215354832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215354832 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY INCORPORATED |
| Practice Address |
4601 66th St Ste D Lubbock TX 79414-4875 |
| Practice Telephone | 8067933900 |
| Mailing Telephone | 8067933900 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | PAMELA BAKER (CO-OWNER) |
| Authorized Official Telephone | 8067933900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 225XP0200X | TX | Agencies |
| N | 251E00000X | Home Health | 235Z00000X | TX | Agencies |
| Y | 251E00000X | Home Health | 2251P0200X | TX | Agencies |
| Street Address |
4601 66TH ST STE D |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437388790 | Michelle Lynn Burnett | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2009-07-08 |
| 1346847381 | Cristi Props | Occupational Therapist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-10-02 |
| 1942816558 | Enrique Gonzalez | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-09-18 |
| 1528673936 | Allison Ruthart | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-09-11 |
| 1316552730 | Blayke Drury | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-09-11 |
| 1497387583 | Fabiola Pena | Occupational Therapist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2020-02-07 |
| 1427696178 | Pediatric Therapy, Inc. | Clinic/Center | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-12-12 |
| 1235788043 | Evelyn Alvarez | Occupational Therapy Assistant | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-09-05 |
| 1093369829 | Sydney Travis | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-07-30 |
| 1912559378 | Meagan Brooke Mcbride | Speech-Language Pathologist | 4601 66th St Ste D, Lubbock, TX 79414-4875 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184104788 | Stephanie Holfus | Home Health | 4906 93rd St, Lubbock, TX 79424-4808 | 2018-08-14 |
| 1992283691 | 806 Speech and Feeding Therapy Pllc | Home Health | 5707 77th St, Lubbock, TX 79424-2403 | 2018-08-03 |
| 1194239772 | South Plains Therapy Services, LLC | Home Health | 4806 59th St, Lubbock, TX 79414-4408 | 2017-11-19 |
| 1396263802 | Direct Senior Care Pllc | Home Health | 4512 11th St, Lubbock, TX 79416-4816 | 2017-09-05 |
| 1326324062 | Mhk Holdings, Inc | Home Health | 2505 B 79th St, Lubbock, TX 79423 | 2011-10-26 |
| 1679870463 | Abba Home Health, Lp | Home Health | 4225 85th St, Lubbock, TX 79423-1931 | 2011-02-15 |
| 1922319409 | Amedisys Texas LLC | Home Health | 3801 22nd St, Suite B-1, Lubbock, TX 79410-1113 | 2010-06-29 |
| 1457677643 | Caduceus Consulting | Home Health | 6217 Kenosha Dr, Lubbock, TX 79413-5430 | 2010-04-13 |
| 1598099848 | American Star Home Health Care Inc | Home Health | 2345 50 St Suit 301, Lubbock, TX 79412-2348 | 2009-09-18 |
| 1013145713 | City View Medical Staffing | Home Health | 3813 22nd St Ste 4c, Lubbock, TX 79410-1199 | 2009-07-01 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on PEDIATRIC THERAPY INCORPORATED.
| 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.