Alamo Therapy Group, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALAMO THERAPY GROUP, LLC

Doing business as

Alamo Pediatric Therapy
Premier Pediatric Therapy

Practice address

415 S 1St St Ste 300a
Lufkin, TX 75901-3863

Phone

(832) 539-1632

Fax

(832) 539-1633

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Taylor J Kovar

Title

Owner

Phone

(936) 465-4110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Alamo Pediatric Therapy Doing business as
• Premier Pediatric Therapy Doing business as

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1144662776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 1ST ST STE 300A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013863",
            "telephone_number": "832-539-1632",
            "fax_number": "832-539-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 1ST ST STE 300A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013863",
            "telephone_number": "832-539-1632",
            "fax_number": "832-539-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "KOVAR",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-465-4110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015955",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alamo Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac Kwame Agyare, RPH
• Munir Ahmad
• Melissa Carol Aiza, LMSW
• Moneeb Akhtar, MD
• Leena Al-Ani, M.D.
• Alcohol & Drug Abuse Council
• Alcohol and Drug Abuse Council
• Alexander Orlov DO
• Christopher Neri Alexander, RPH
• Kasey K Alexander, LPC

• Home Health Agency in Lufkin, TX
• Providers in Lufkin, 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 Dec 20, 2019; 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.