COASTAL KIDS THERAPY, PLLC (NPI# 1285000299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285000299 |
Entity Type | Organization |
Organization Name | COASTAL KIDS THERAPY, PLLC |
Other Organization Name | COASTAL KIDS THERAPY |
Practice Address |
210 Lake Rd Ste. 700b Lake Jackson TX 77566-4982 |
Practice Telephone | 9794800018 |
Practice Fax Number | 9793147364 |
Mailing Telephone | 9794800018 |
Mailing Fax Number | 9793147364 |
Enumeration Date | 2015-08-12 |
Last Update Date | 2016-02-02 |
Authorized Official Name | ANDRIANA MARIE FALCON (OCCUPATIONAL THERAPIST) |
Authorized Official Telephone | 9792649700 |
Authorized Official Credential | MOTR/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
112729 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Coastal Kids Therapy | Doing Business As Name - Organization |
Street Address |
210 LAKE RD STE. 700B |
City | LAKE JACKSON |
State | TX |
Zip Code | 77566-4982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700966454 | Allergy & Ent Associates | Allergy & Immunology | 210 Lake Rd, Suite 100b, Lake Jackson, TX 77566-4982 | 2006-10-17 |
1689026528 | Brooke Sterzinger | Speech-Language Pathologist | 210 Lake Rd, 700b, Lake Jackson, TX 77566-4982 | 2016-07-03 |
1023462314 | Lemon Frazier Psychological Services, Pllc | Psychologist | 210 Lake Rd, Suite 700a, Lake Jackson, TX 77566-4982 | 2016-04-22 |
1588024418 | Mcneese Psychological Services, Pllc | Psychologist | 210 Lake Rd, Suite 700a, Lake Jackson, TX 77566-4982 | 2016-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
Find all providers in zip 77566 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023583358 | Perisseuo Group LLC | Clinic/Center | 135 Oyster Creek Dr Ste P, Lake Jackson, TX 77566-4118 | 2018-10-13 |
1881192862 | One On One Mobility Rehab LLC | Clinic/Center | 512 This Way St, Lake Jackson, TX 77566 | 2018-01-25 |
1306281597 | Bhf Healthcare LLC | Clinic/Center | 117 Circle Way St, Lake Jackson, TX 77566-5233 | 2013-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
1043827124 | Healthstar Family Rehab Center, LLC | Clinic/Center | 6800 Gateway Blvd E. Bldg 4ab, El Paso, TX 79915-1006 | 2020-09-23 |
1528672391 | Pro Rehab One LLC | Clinic/Center | 1929 W Us Highway 83, Rio Grande City, TX 78582-6313 | 2020-08-31 |
1538772488 | Optimum Kids Ltd | Clinic/Center | 1240 E Business 83 Ste A, Mission, TX 78572-9600 | 2020-08-28 |
1366055998 | Workfit Recovery Centre | Clinic/Center | 800 W Airport Fwy Ste 630, Irving, TX 75062-6268 | 2020-08-24 |
1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
1013528231 | Feel Free Pt | Clinic/Center | 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 | 2020-08-11 |
1285259945 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 2306 Rayford Rd Ste 200, Spring, TX 77386-1707 | 2020-06-09 |
1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
Find all providers with the same taxonomy |
City | LAKE JACKSON |
Zip Code | 77566 |
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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.