Kids Unlimited Therapy Fun and Fitness Center, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1165229 Issued in TX

Legal business name

KIDS UNLIMITED THERAPY FUN AND FITNESS CENTER, P.C.

Practice address

6755 Phelan Blvd
Suite 38
Beaumont, TX 77706-6075

Phone

(409) 554-4616

Fax

(409) 554-4617

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Haley Brooke Treme, P.T.

Title

Director of Physical Therapy

Phone

(409) 554-4616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1043529217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 PHELAN BLVD",
            "address_2": "SUITE 38",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066075",
            "telephone_number": "409-554-4616",
            "fax_number": "409-554-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 PHELAN BLVD",
            "address_2": "SUITE 38",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066075",
            "telephone_number": "409-554-4616",
            "fax_number": "409-554-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS UNLIMITED THERAPY FUN AND FITNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "TREME",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "409-554-4616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1165229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181418801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mustafa Dilawar Khan, M.D.
• Owais Khan
• Sunnia Khan, MD
• Muhammad Usama Khokhar, M.D.
• Zeyad Medhat Kholeif, MBBCH
• Tatum J Kieschnick, DC
• Tinsae T Kifle
• Laura Kimball, LPC
• Leigh B Kimball, O.D.
• Lacey Gail Kinard, OTR

• Physical Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.