Canyon Kids Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

CANYON KIDS THERAPY LLC

Practice address

9502 Novacek Blvd
San Antonio, TX 78254-2121

Phone

(208) 360-9969

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Jared Ricks, MOT, OTRNPI 1619517711

Title

Owner/Occupational Therapist

Phone

(208) 360-9969

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared David Ricks

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1619517711

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1033986294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 NOVACEK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542121",
            "telephone_number": "208-360-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 NOVACEK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542121",
            "telephone_number": "208-360-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON KIDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "208-360-9969",
        "authorized_official_credential": "MOT, OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Ruth Cantu, LSA
• Amy Cantwell, CNIM
• M Kathleen Canty, CNS
• Canvas Mental Health PLLC
• Canyon Golf Family Dentistry
• Christopher-Hy Cao
• Diep Ngoc Cao, DO
• Jasmine Capers
• Taylor Caperton
• Lauren Simone Capicio, SLP

• Pediatric Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.