Organization Active NPI

Kidabilities PC

  • Pediatric Occupational Therapist
  • Georgetown, TX
National Provider Identifier
1073602454
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
113216 Issued in TX
Legal business name
KIDABILITIES PC
Practice address
1520 Leander Road
Suite 101
Georgetown, TX 78628
Phone
(512) 930-5439
Fax
(512) 930-5431
NPI assigned
Oct 12, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Mrs. Christine Carol Veres, OTR/LNPI 1154468254
Title
Owner/Licensed Occupational Therapi
Phone
(512) 930-5439

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X 108156 TX
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X 543300000 TX
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X 113216 TX Primary

Addresses

Primary practice location

1520 Leander Road
Suite 101
Georgetown, TX 78628

Mailing address

PO Box 1585
Georgetown, TX 78627-1585
Phone (512) 930-5439

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1073602454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1585",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271585",
            "telephone_number": "512-930-5439",
            "fax_number": "512-930-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LEANDER ROAD",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-930-5439",
            "fax_number": "512-930-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDABILITIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "VERES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/LICENSED OCCUPATIONAL THERAPI",
        "authorized_official_telephone_number": "512-930-5439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "108156",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "543300000",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "113216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.