NPIMap

Organization Active NPI

Lildutchess LLC

  • Occupational Therapist
  • Temple, TX
National Provider Identifier
1114580529
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LILDUTCHESS LLC
Practice address
4311 S 31St St Ste 105
Temple, TX 76502-3347
Phone
(254) 536-5365
NPI assigned
Apr 22, 2019
Last updated
Sep 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Authorized official

Name
Casie Ward
Title
Owner
Phone
(254) 230-7991

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

4311 S 31St St Ste 105
Temple, TX 76502-3347

Mailing address

4311 S 31St St Ste 105
Temple, TX 76502-3347
Phone (254) 230-7991

Other practice location 1

1201 Hewitt Dr Ste 107
Waco, TX 76712-8834
Phone (254) 572-8890

National Provider Directory

National Provider Directory

Locations

4311 S 31st St
Ste 105
Temple, TX 76502
Phone (254) 231-3752

1201 Hewitt Dr
Ste 107
Woodway, TX 76712
Phone (254) 321-6678

Practitioners & affiliated clinicians

Practitioners 8

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694217600000",
    "number": "1114580529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 S 31ST ST STE 105",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023347",
            "telephone_number": "254-230-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 S 31ST ST STE 105",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023347",
            "telephone_number": "254-536-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Hewitt Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128834",
            "country_code": "US",
            "telephone_number": "254-572-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LILDUTCHESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-230-7991"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; 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.