Active NPI
Bubbles Pediatric Therapy
- Occupational Therapist
- Laredo, TX
National Provider Identifier
1154739589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- BUBBLES PEDIATRIC THERAPY
- Practice address
- 2100 Corpus Christi St
Suite 14
Laredo, TX 78043-3398 - Phone
- (956) 724-5448
- Fax
- (956) 724-5449
- NPI assigned
- Jul 29, 2014
- 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
- Mrs. Lissa Lope Liveson, OTR, MOT
- Title
- Owner
- Phone
- (956) 724-5448
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
2100 Corpus Christi St
Suite 14
Laredo, TX 78043-3398
Mailing address
2100 Corpus Christi St
Suite 14
Laredo, TX 78043-3398
Phone (956) 724-5448
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406592000000",
"number": "1154739589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CORPUS CHRISTI ST",
"address_2": "SUITE 14",
"city": "LAREDO",
"state": "TX",
"postal_code": "780433398",
"telephone_number": "956-724-5448",
"fax_number": "956-724-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CORPUS CHRISTI ST",
"address_2": "SUITE 14",
"city": "LAREDO",
"state": "TX",
"postal_code": "780433398",
"telephone_number": "956-724-5448",
"fax_number": "956-724-5449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUBBLES PEDIATRIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A",
"authorized_official_last_name": "LIVESON",
"authorized_official_first_name": "LISSA",
"authorized_official_middle_name": "LOPE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-724-5448",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR, MOT"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.