NPIMap

Organization Active NPI

Achieve Pediatric Therapy & Rehab PC

  • Pediatric Occupational Therapist
  • Cedar Park, TX
National Provider Identifier
1205195070
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ACHIEVE PEDIATRIC THERAPY & REHAB PC
Practice address
1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095
Phone
(512) 260-6990
Fax
(512) 260-6991
NPI assigned
May 14, 2012
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Mrs. Erica L Tally, OTRNPI 1376776112
Title
Vice President
Phone
(512) 260-6990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095

Mailing address

1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095
Phone (512) 260-6990

Other practice location 1

21126 Market Rdg
San Antonio, TX 78258-4984
Phone (210) 953-7010

Other practice location 2

5211 79th St
Lubbock, TX 79424-2832
Phone (806) 853-9740

Other names 1

  • Achieve Pediatric Therapy and Rehab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240812003629 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698213437 Receives reassigned benefits from 9 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1320 Arrow Point Dr
Ste 413
Cedar Park, TX 78613
Phone (512) 260-6990

715 Discovery Blvd
Ste 115
Cedar Park, TX 78613
Phone (512) 260-6990

5211 79th St
Lubbock, TX 79424
Phone (806) 535-3238

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1205195070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 413",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132095",
            "telephone_number": "512-260-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 413",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132095",
            "telephone_number": "512-260-6990",
            "fax_number": "512-260-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21126 Market Rdg",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584984",
            "country_code": "US",
            "telephone_number": "210-953-7010",
            "fax_number": "210-953-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5211 79th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794242832",
            "country_code": "US",
            "telephone_number": "806-853-9740",
            "fax_number": "806-853-9738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACHIEVE PEDIATRIC THERAPY & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "TALLY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-260-6990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Pediatric Therapy and Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.