Organization Active NPI

JJ Pearce High School

  • Rehabilitation Clinic/Center
  • Richardson, TX
National Provider Identifier
1083679054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
AT2456 Issued in TX
Legal business name
JJ PEARCE HIGH SCHOOL
Practice address
1600 N Coit Rd
Richardson, TX 75080-2805
Phone
(469) 593-5033
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Billy L Skidmore, ATC/LAT
Title
Head Athletic Trainer
Phone
(469) 593-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X AT2456 TX Primary

Addresses

Primary practice location

1600 N Coit Rd
Richardson, TX 75080-2805

Mailing address

1600 N Coit Rd
Richardson, TX 75080-2805
Phone (469) 593-5033

National Provider Directory

National Provider Directory

Locations

1600 N Coit Rd
Richardson, TX 75080
Phone (469) 593-5033

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083679054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N COIT RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802805",
            "telephone_number": "469-593-5033",
            "fax_number": "469-593-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N COIT RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802805",
            "telephone_number": "469-593-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ PEARCE HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "469-593-5033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC/LAT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "AT2456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.