NPIMap

Organization Active NPI

Coastal Kids Therapy, PLLC

Doing business as Coastal Kids Therapy

  • Rehabilitation Clinic/Center
  • Lake Jackson, TX
National Provider Identifier
1285000299
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
112729 Issued in TX
Legal business name
COASTAL KIDS THERAPY, PLLC
Doing business as
Coastal Kids Therapy
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
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Andriana Marie Falcon, MOTR/LNPI 1649534801
Title
Occupational Therapist
Phone
(979) 264-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 112729 TX Primary

Addresses

Primary practice location

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

Mailing address

210 Lake Rd
Ste. 700B
Lake Jackson, TX 77566-4982
Phone (979) 480-0018

Other names 1

  • Coastal Kids Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

210 Lake Rd
Ste 700B
Lake Jackson, TX 77566
Phone (979) 480-0018

Practitioners & affiliated clinicians

Practitioners 3

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": "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"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • 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.