Kids Therapy Set, LLC
Organization Active NPI Multi-Specialty Clinic/Center · Vidor, TX
NPI 1194073353 · NPPES record last updated Aug 7, 2022
Key facts
- NPI
- 1194073353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- KIDS THERAPY SET, LLC
- Practice address
- 500 South St Unit 500
Vidor, TX 77662-6183 - Phone
- (254) 644-2770
- NPI assigned
- Aug 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Rebekah Schaper, DPT, PHYSIC THERAPY
- Title
- Owner / Director
- Phone
- (254) 644-2770
Member organizations 1
Practitioners 15
-
Haylee Taylor Little, OTR
-
Kara Michael, OTR
-
Kyra Poole, OTR/L
-
Caitlyn Purks, CCC/SLP
-
Rebekah Schaper, DPT
-
Abby Hani, OTD
-
Corrie Brackin, OTR
-
Morgan Elizabeth Elkins, PT, DPT
-
Morgan Nicole Lewallen, M.S. CCC-SLP
-
Allisen Segerson, OTR
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220324000385 | TX | Part B Supplier - Clinic/Group Practice | 7315363488 |
Receives reassigned benefits from 13 practitioners Practice locations: Vidor, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
500 South St Unit 500
Vidor, TX 77662-6183
Mailing address
500 South St
Unit 500
Vidor, TX 77662-6183
Phone (409) 498-4066
Other practice location 1
295 Flamingo St
Vidor, TX 77662-9478
Phone (254) 644-2770
Other providers in Vidor, TX
- Hannah Elise Huff
- Syed Muhammad Ali Ahmed Jilani
- Kalos Counseling and Diagnostics, PLLC
- Matilda Denise Kelley
- Kelley'S Karing Touch, LLC
- Melvin Kohn
- Jennie Lam
- Shelley Landry
- Jerry Dwayne Leavins
- Morgan Nicole Lewallen
All providers in Vidor, TX · Multi-Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.