PEDI SPOT, LLC (NPI# 1831222405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831222405 |
| Entity Type | Organization |
| Organization Name | PEDI SPOT, LLC |
| Practice Address |
1901 N Glenville Dr Suite 800 Richardson TX 75081-7207 |
| Mailing Address |
915 W Exchange Pkwy Suite 100 Allen TX 75013-7017 |
| Practice Telephone | 9722389916 |
| Practice Fax Number | 9726641791 |
| Mailing Telephone | 2143835353 |
| Mailing Fax Number | 2143835859 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NEIL E. CASEY (CEO-PRESIDENT) |
| Authorized Official Telephone | 2143835353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
1901 N GLENVILLE DR SUITE 800 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75081-7207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225161896 | Pedi Spot Home, LLC | Home Health | 1901 N Glenville Dr, Suite 800, Richardson, TX 75081-7207 | 2007-03-13 |
| 1245663921 | Shane Eugene Burt | Technician, Health Information | 1901 N Glenville Dr, Suites 501, Richardson, TX 75081-7207 | 2013-08-16 |
| 1538505482 | Brandon Fry | Rehabilitation Counselor | 1901 N Glenville Dr, Suite 501, Richardson, TX 75081-7207 | 2013-05-20 |
| 1609190909 | Healthline Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1901 N Glenville Dr, Suite 501, Richardson, TX 75081-7207 | 2010-03-16 |
| 1063616530 | Darbi Poe | Speech-Language Pathologist | 1901 N Glenville Dr, Suite 800, Richardson, TX 75081-7207 | 2007-06-11 |
| 1114133725 | Mahn Bishr | Speech-Language Pathologist | 1901 N Glenville Dr, Suite 800, Richardson, TX 75081-7207 | 2007-05-14 |
| 1518170018 | Amanda Mcminn | Specialist/Technologist | 1901 N Glenville Dr, Suite 800, Richardson, TX 75081-7207 | 2007-05-08 |
| 1023221215 | Stephanie White | Specialist/Technologist | 1901 N Glenville Dr, Suite 800, Richardson, TX 75081-7207 | 2007-05-07 |
| 1134240914 | Katie Trujillo | Speech-Language Pathologist | 1901 N Glenville Dr, Richardson, TX 75081-7207 | 2007-04-02 |
| 1811015290 | Michelle Nabarrette | Speech-Language Pathologist | 1901 N Glenville Dr, Richardson, TX 75081-7207 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1831732890 | Cielo Camille Lopez | Registered Nurse | 908 Audelia Rd St. 200-pmb 170, Richardon, TX 75081 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1427530849 | Ladasha Danelle Gregory | Occupational Therapy Assistant | 744 Brick Row Dr Apt 2226, Richardson, TX 75081 | 2018-09-01 |
| 1013403427 | Camp Medical Management, LLC | Social Worker | 208 W. Spring Valley Rd, Richardson, TX 75081 | 2018-07-09 |
| 1710486238 | Sara Nourani-dargiri | Optometrist | 1332 S. Plano Rd Ste 112, Richardson, TX 75081 | 2018-02-10 |
| 1174044895 | Rebecka Kay Haats | Dentist | 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 | 2017-07-03 |
| 1225418635 | Elizabeth Bands | Pharmacist | 930 East Campbell, Suite 200, Richardson, TX 75081 | 2015-06-02 |
| 1518344597 | Relationship Resolve | Public Health or Welfare | 800 Security Row, Suite 2, Richardson, TX 75081 | 2015-04-29 |
| Find all providers in zip 75081 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417991514 | North Dallas Physical Therapy Associates PC | Clinic/Center | 510 N Coit Rd, Suite 2035, Richardson, TX 75080-5437 | 2006-06-16 |
| 1184663031 | Matrix Rehabilitation-texas, Inc. | Clinic/Center | 3413 Spectrum Blvd, Ste 200, Richardson, TX 75082-9705 | 2006-06-06 |
| 1083679054 | Jj Pearce High School | Clinic/Center | 1600 N Coit Rd, Richardson, TX 75080-2805 | 2006-04-20 |
| 1134182116 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 1740 N Collins Blvd, Ste 100, Richardson, TX 75080-3640 | 2006-04-10 |
| 1588023071 | Neurocare Rehab Dallas LLC | Clinic/Center | 2150 Lakeside Blvd, Suite 150, Richardson, TX 75082-4302 | 2016-02-12 |
| 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 | RICHARDSON |
| Zip Code | 75081 |
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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.