Epic Pediatric Therapy, LP.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

67-6535 Issued in TX

Legal business name

EPIC PEDIATRIC THERAPY, LP.

Doing business as

Aveanna Healthcare

Practice address

1351 E Bardin Rd Ste 160
Arlington, TX 76018-2137

Phone

(177) 951-2918

Fax

(817) 698-9506

NPI assigned

Aug 18, 2008

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Buckhalter

Title

Cfo

Phone

(470) 464-8000

Specialties & licenses 2

Addresses

Other names 1

• Aveanna Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013163377. Details of each certification follow.

• CCN 676535 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676535

Legal name

AVEANNA HEALTHCARE

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Sep 20, 2002

Last certification

Aug 20, 2019

Ownership / control type

Proprietary

Facility address

1351 E Bardin Rd Ste 160
Arlington, TX 76018

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Epic Pediatric Therapy, LP

  dba Aveanna Healthcare

  • Rehabilitation Clinic/Center
  • Allen, TX
  • NPI 1366471450

  7012826852

  Same PAC ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Epic Pediatric Therapy, LP

  dba Aveanna Healthcare

  • Rehabilitation Clinic/Center
  • Allen, TX
  • NPI 1366471450

  Member Of

  NPD member

Locations

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyse Roseann Acosta, COTA

  • Occupational Therapy Assistant
  • Arlington, TX
  • NPI 1366174153
  NPD
• Bilqis Balolia

  • Speech-Language Pathologist
  • McKinney, TX
  • NPI 1003583287
  NPD
• Deidre Bevers, COTA

  • Occupational Therapy Assistant
  • Arlington, TX
  • NPI 1700532900
  NPD
• Jessica Brower

  • Speech-Language Pathologist
  • Arlington, TX
  • NPI 1316552193
  NPD
• Rocio Maribel Dominguez, M.S., CF-SLP

  • Speech-Language Pathologist
  • Arlington, TX
  • NPI 1437936531
  NPD
• Stephanie Dalila Escobedo

  • Speech-Language Pathologist
  • Arlington, TX
  • NPI 1659847101
  NPD
• Leah Lawson, PT, DPT

  • Physical Therapist
  • Arlington, TX
  • NPI 1912676339
  NPD
• Richelle McGuire

  • Speech-Language Pathologist
  • Arlington, TX
  • NPI 1316812407
  NPD
• Leslie Dawn Mohrmann, COTA/L

  • Occupational Therapy Assistant
  • Arlington, TX
  • NPI 1275307928
  NPD
• Rebecca Molinar, COTA

  • Occupational Therapy Assistant
  • Arlington, TX
  • NPI 1477131928
  NPD
• Emily Elizabeth Morsching, OTR

  • Occupational Therapist
  • Arlington, TX
  • NPI 1497300461
  NPD
• Sierra Orr, COTA

  • Occupational Therapy Assistant
  • Arlington, TX
  • NPI 1003579475
  NPD

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1013163377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 E BARDIN RD STE 160",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182137",
            "telephone_number": "177-951-2918",
            "fax_number": "817-698-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC PEDIATRIC THERAPY, LP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "67-6535",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Enuke
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• Epic Chiropractic Solutions PLLC (Epic Chiropractic Solutions)
• Epic Health Care of Texas PLLC
• Epiphany Counseling Services
• Equinox Wellness Center Inc
• Kathleen Michelle Erby
• Saidara Lashuntia Eribo, DNP, APRN, FNP-BC
• Leigh Ann Erickson, MS CCC/SLP

• Rehabilitation Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.