Hullabaloo Pediatric Therapy PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1099075 Issued in TX

Legal business name

HULLABALOO PEDIATRIC THERAPY PLLC

Practice address

2035 Crockett Rd
Palestine, TX 75801-5921

Phone

(903) 723-3602

Fax

(903) 731-9573

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kristi L. Grimsley, PT

Title

Owner

Phone

(903) 391-8170

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Amanda Renea Britton

  • Pediatric Physical Therapist
  • Palestine, TX
  • NPI 1720467442
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1073991964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GLENWOOD DR.",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "903-391-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 CROCKETT RD",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015921",
            "telephone_number": "903-723-3602",
            "fax_number": "903-731-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULLABALOO PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "GRIMSLEY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-391-8170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TX",
            "license": "108561",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1099075",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "1099075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108015203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201775804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351507401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351990201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Holt, LPC
• Home Care Network East, Inc
• Nelda L. Hopper, MSW, LCSW
• Randal J Horn, M.D.
• Horns Medical Supply Inc.
• Patricia Joann Hunt
• Mariam Fatima Hussain, MD
• In-Home Partner of Texas-I, LLC
• Innovations Surgery Center, LP
• Internal Medicine Associates of Palestine, PA

• Rehabilitation Clinic/Center in Palestine, TX
• Providers in Palestine, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.