NPIMap

Organization Active NPI

Blast-Off Therapy Center, PLLC

  • Pediatric Occupational Therapist
  • Penitas, TX
National Provider Identifier
1053683177
Registry record updated Feb 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
112204 Issued in TX
Legal business name
BLAST-OFF THERAPY CENTER, PLLC
Practice address
38615 Mile 7 Rd Unit 4
Penitas, TX 78576-8474
Phone
(956) 583-0279
Fax
(956) 583-0706
NPI assigned
Feb 5, 2012
Last updated
Feb 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2012

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

Authorized official

Name
Belinda Ramirez
Title
Owner/President
Phone
(956) 583-0279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 112204 TX Primary

Addresses

Primary practice location

38615 Mile 7 Rd Unit 4
Penitas, TX 78576-8474

Mailing address

38615 Mile 7 Rd Unit 4
Penitas, TX 78576-8474
Phone (956) 583-0279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328400000000",
    "number": "1053683177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38615 MILE 7 RD UNIT 4",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768474",
            "telephone_number": "956-583-0279",
            "fax_number": "956-583-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38615 MILE 7 RD UNIT 4",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768474",
            "telephone_number": "956-583-0279",
            "fax_number": "956-583-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAST-OFF THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-05",
        "last_updated": "2012-02-05",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-583-0279"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penitas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; 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.