Planet Rehab Therapy Solutions

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PLANET REHAB THERAPY SOLUTIONS

Doing business as

Planet Rehab Therapy Services

Practice address

5907 W Marshall Ave
Longview, TX 75604-6011

Phone

(903) 483-7227

Fax

(903) 483-7227

NPI assigned

Jan 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nikki Clark I, COTA

Title

Pres

Phone

(903) 483-7227

Specialties & licenses 1

Addresses

Other names 1

• Planet Rehab Therapy Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505520000000",
    "number": "1003153438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 W MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046011",
            "telephone_number": "903-483-7227",
            "fax_number": "903-483-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 W MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046011",
            "telephone_number": "903-483-7227",
            "fax_number": "903-483-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET REHAB THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2017-09-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "903-483-7227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planet Rehab Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.