Katie's Pediatric Therapy Service

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1131175 Issued in TX

Legal business name

KATIE'S PEDIATRIC THERAPY SERVICE

Practice address

920 N. Ave I
Shiner, TX 77984-5296

Phone

(830) 203-1833

Fax

(361) 594-8818

NPI assigned

Jun 12, 2012

Last updated

Jun 13, 2012By 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

Ms. Kathryn W. Thomas

Title

Physical Therapist and Owner

Phone

(830) 203-1833

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Amanda M. Winton, OTR

  • Occupational Therapist
  • Shiner, TX
  • NPI 1982967469
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1124380522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N. AVE I",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779845296",
            "telephone_number": "830-203-1833",
            "fax_number": "361-594-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N. AVE I",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779845296",
            "telephone_number": "830-203-1833",
            "fax_number": "361-594-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE'S PEDIATRIC THERAPY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "830-203-1833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1131175",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212178201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Brooke Domel
• DRS Wagner & Wagner PA
• Stacey Marie Fojtik, MS-SLP-CCC
• Gonzales Healthcare Systems (Sievers Medical Clinic - Shiner)
• Carolyn E Hilscher, RPH PHARMACIST
• Kerri Leigh Lange, MPT
• Jill Marie Moore, OTR
• Kathryn S Nutter, LPC
• William David Patek, RPH
• Perry Therapy PC (Shiner Physical Therapy and Fitness Center)

• Physical Therapist in Shiner, TX
• Providers in Shiner, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.