Active NPI
JJ Pearce High School
- Rehabilitation Clinic/Center
- Richardson, TX
National Provider Identifier
1083679054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- AT2456
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.