Coastal Kids Therapy, PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

112729 Issued in TX

Legal business name

COASTAL KIDS THERAPY, PLLC

Practice address

210 Lake Rd
Ste. 700B
Lake Jackson, TX 77566-4982

Phone

(979) 480-0018

Fax

(979) 314-7364

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Andriana Marie Falcon, MOTR/L

Title

Occupational Therapist

Phone

(979) 264-9700

Specialties & licenses 1

Addresses

Other names 1

• Coastal Kids Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Alejandra Mooneyham, MOTR/L

  • Pediatric Occupational Therapist
  • Lake Jackson, TX
  • NPI 1639651334
  NPD (past)
• Jennifer Krystine Rhodes, MOTR/L

  • Pediatric Occupational Therapist
  • Houston, TX
  • NPI 1942850482
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1285000299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAKE RD",
            "address_2": "STE. 700B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664982",
            "telephone_number": "979-480-0018",
            "fax_number": "979-314-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAKE RD",
            "address_2": "STE. 700B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664982",
            "telephone_number": "979-480-0018",
            "fax_number": "979-314-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "ANDRIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "979-264-9700",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "112729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Morales
• Jennifer Michelle Cisneros, SLP
• Sandra Ann Clevenger
• CNM Homecare LLC
• Coastal Family Medicine, LLC
• Coburn Chiropractic Center
• Billy Bob Coburn, DC
• John Derek Cogdill, OT
• Kalyn Michelle Collard, MD
• Macie Bailey Collier

• Rehabilitation Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.