Active NPI
Made for Motion Pediatric Therapy
- Pediatric Physical Therapist
- Richmond, TX
National Provider Identifier
1053930164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- MADE FOR MOTION PEDIATRIC THERAPY
- Practice address
- 25619 Canyon Sands LN
Richmond, TX 77406-4351 - Phone
- (903) 918-9282
- Fax
- (832) 201-8800
- NPI assigned
- Apr 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Medina, PT, DPT, C/NDT
- Title
- Director
- Phone
- (903) 918-9282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
25619 Canyon Sands LN
Richmond, TX 77406-4351
Mailing address
25619 Canyon Sands LN
Richmond, TX 77406-4351
Phone (903) 918-9282
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586390400000",
"number": "1053930164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25619 CANYON SANDS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774064351",
"telephone_number": "903-918-9282",
"fax_number": "832-201-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25619 CANYON SANDS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774064351",
"telephone_number": "903-918-9282",
"fax_number": "832-201-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADE FOR MOTION PEDIATRIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-09",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "903-918-9282",
"authorized_official_credential": "PT, DPT, C/NDT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.