Just 4 Kidz Therapy, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

110553 Issued in TX

Legal business name

JUST 4 KIDZ THERAPY, LLC

Practice address

291 S Preston Rd Ste 830
Prosper, TX 75078-1907

Phone

(972) 347-9454

Fax

(972) 499-2527

NPI assigned

Jun 27, 2008

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chaddrick D PolkNPI 1003286972

Title

C.F.O

Phone

(972) 283-3100

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Chaddrick Polk, PT, OTA

  • Physical Therapist
  • Prosper, TX
  • NPI 1003286972
  NPD Authorized official
• Ladee Frakay Polk, O.T.R.

  • Pediatric Occupational Therapist
  • Desoto, TX
  • NPI 1356472047
  NPD
• Patricia A Johnson, M.O.T.

  • Pediatric Occupational Therapist
  • Desoto, TX
  • NPI 1538484860
  NPD (past)
• Misty R Mays, MPT

  • Physical Therapist
  • Desoto, TX
  • NPI 1487685319
  NPD (past)
• Julie S Stone, M.A.

  • Speech-Language Pathologist
  • Desoto, TX
  • NPI 1174848493
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1114189420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S PRESTON RD STE 830",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781907",
            "telephone_number": "972-347-9454",
            "fax_number": "972-499-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S PRESTON RD STE 830",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781907",
            "telephone_number": "972-347-9454",
            "fax_number": "972-499-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDZ THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "CHADDRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "972-283-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "110553",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181975501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182122501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178849901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Prosper, TX
• Providers in Prosper, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.