LIFELINE PEDIATRIC CLINICS (NPI# 1598098873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598098873 |
| Entity Type | Organization |
| Organization Name | LIFELINE PEDIATRIC CLINICS |
| Other Organization Name | LIFESTEPS PEDIATRIC THERAPY CENTER |
| Practice Address |
3501 Sheppard Access Rd Wichita Falls TX 76306-4235 |
| Practice Telephone | 9408517837 |
| Mailing Telephone | 9408517837 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | JOE PAUL GALLO (ADMINISRATOR) |
| Authorized Official Telephone | 9403673501 |
| Authorized Official Credential | RNC, WHNP B-C, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
666670000 | TX | Ambulatory Health Care Facilities |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
666670000 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lifesteps Pediatric Therapy Center | Doing Business As Name - Organization |
| Street Address |
3501 SHEPPARD ACCESS RD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76306-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669705281 | Vanessa Marina Wallace | Speech-Language Pathologist | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2009-09-14 |
| 1902463276 | North Texas Diagnostic Intervention Behavioral Clinic | Behavior Technician | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2019-05-22 |
| 1679033583 | Gage Raymond Grace | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2019-03-25 |
| 1386129401 | Sydney Kate Barton | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2018-09-25 |
| 1699150169 | Kelly Grace | Behavioral Analyst | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2015-07-27 |
| 1518213669 | Rachel S Bertleson | Psychologist | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2012-07-26 |
| 1801129317 | Jena Lee Brown | Dietitian, Registered | 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175214 | Kayla Christina Lynn Widener | Occupational Therapy Assistant | 300 Tx -11 Loop, Wichita Falls, TX 76306 | 2018-08-23 |
| 1043767221 | Value Smiles Pllc | Dentist | 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 | 2016-09-06 |
| 1033511514 | Katryna Ehlinger | Military Health Care Provider | 7656 Chablis Circle, Wichita Falls, TX 76306 | 2014-09-16 |
| 1770701518 | Gary Lee Schultz Jr. | Pharmacist | 2522 Iowa Park Road, Wichita Falls, TX 76306 | 2007-04-24 |
| 1558409482 | United Supermarkets, L.L.C. | Pharmacy | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-02-02 |
| 1679787428 | Cynthia Diane Smith | Pharmacist | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-05-10 |
| 1992932396 | Tina Marie Harris | Military Health Care Provider | 5608 Greentree Ave, Wichita Falls, TX 76306-1145 | 2009-06-12 |
| 1487042453 | Jill Oldham | Behavioral Analyst | 2307 Hunters Gln, Wichita Falls, TX 76306-1148 | 2014-12-29 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1932390192 | Jane Cook | Licensed Vocational Nurse | 4104 Lenore Dr, Wichita Falls, TX 76306-1807 | 2007-08-05 |
| Find all providers in zip 76306 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 | WICHITA FALLS |
| Zip Code | 76306 |
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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.