THERAPEUTIC INTERVENTION FOR KIDS, INC (NPI# 1356566764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356566764 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC INTERVENTION FOR KIDS, INC |
| Practice Address |
3355 Cherry Ridge St #209 San Antonio TX 78230-4815 |
| Practice Telephone | 2103661575 |
| Practice Fax Number | 2103661883 |
| Mailing Telephone | 2103661575 |
| Mailing Fax Number | 2103661883 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KRISTINA LOU MURRAY-INCLAN (CEO) |
| Authorized Official Telephone | 2103661575 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
1021186 | TX | Ambulatory Health Care Facilities |
| Street Address |
3355 CHERRY RIDGE ST #209 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428163 | Dora Johnson | Occupational Therapist | 3355 Cherry Ridge St, San Antonio, TX 78230-4815 | 2006-06-22 |
| 1679940365 | Samantha Baker | Speech-Language Pathologist | 3355 Cherry Ridge St, Suite 218, San Antonio, TX 78230-4815 | 2015-08-28 |
| 1881079424 | Krystal Sandoval | Speech-Language Pathologist | 3355 Cherry Ridge St, Ste. 218, San Antonio, TX 78230-4815 | 2015-07-24 |
| 1811377823 | Barbara Patricia Garcia | Speech-Language Pathologist | 3355 Cherry Ridge St, 218, San Antonio, TX 78230-4815 | 2015-06-04 |
| 1770727885 | Yadira Medina-torres | Speech-Language Pathologist | 3355 Cherry Ridge St, Ste. 218, San Antonio, TX 78230-4815 | 2009-04-21 |
| 1699916478 | Lara Woody | Occupational Therapist | 3355 Cherry Ridge St, #209, San Antonio, TX 78230-4815 | 2009-03-09 |
| 1083859243 | Patricia F Colvin | Occupational Therapist | 3355 Cherry Ridge St, Ste. 209, San Antonio, TX 78230-4815 | 2008-12-02 |
| 1649293101 | Edward Ross Staffel Sr. | Dentist | 3355 Cherry Ridge St, Suite 216, San Antonio, TX 78230-4815 | 2006-07-25 |
| 1497773139 | Hill Country San Antonio Management, Inc. | Day Training, Developmentally Disabled Services | 3355 Cherry Ridge St, Suite 104, San Antonio, TX 78230-4815 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1013076512 | Rces, Inc. | Clinic/Center | 206 E. Fredricksburg Rd, San Antonio, TX 78212 | 2006-12-08 |
| 1538227152 | Alamo Area Council of Governments | Clinic/Center | 8700 Tesoro Dr Ste 160, San Antonio, TX 78217-6221 | 2006-12-05 |
| 1518062520 | Homelife & Community Services, Inc. | Clinic/Center | 2401 Wilson, San Antonio, TX 78228 | 2006-09-14 |
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| 1760957070 | Toyin Kikelomo Omotosho | Clinic/Center | 2908 Montalbo, Grand Prairie, TX 75054-6506 | 2018-10-12 |
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| 1811404635 | The Arc of North Texas | Clinic/Center | 445 Walnut St Ste 132, Richardson, TX 75081-7008 | 2018-01-02 |
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| 1578917829 | Safiya Inc | Clinic/Center | 3367 Ozark St, Houston, TX 77021-1134 | 2016-04-22 |
| 1790192060 | Careland, Inc | Clinic/Center | 3741 Mangum Rd, Houston, TX 77092-5407 | 2014-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
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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.