NPIMap

Organization Active NPI

Cutting Edge Pediatric Therapy Houston, LLC

  • Multi-Specialty Clinic/Center
  • Katy, TX
National Provider Identifier
1205236387
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CUTTING EDGE PEDIATRIC THERAPY HOUSTON, LLC
Practice address
21703 Kingsland Blvd
Suite 100
Katy, TX 77450-2520
Phone
(469) 675-3153
NPI assigned
Aug 26, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Katherine Lundgren, OTNPI 1245392372
Title
Owner
Phone
(469) 675-3153

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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

21703 Kingsland Blvd
Suite 100
Katy, TX 77450-2520

Mailing address

800 N Watters Rd Ste 150
Allen, TX 75013-5395

National Provider Directory

National Provider Directory

Locations

800 N Watters Rd
Ste 150
Allen, TX 75013
Phone (469) 675-3153

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1205236387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N WATTERS RD STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21703 KINGSLAND BLVD",
            "address_2": "SUITE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502520",
            "telephone_number": "469-675-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE PEDIATRIC THERAPY HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-675-3153",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.