NPIMap

Organization Active NPI

Progressive Pediatric Therapy of TX, Inc.

  • Pediatric Occupational Therapist
  • Plano, TX
National Provider Identifier
1285872788
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
110058 Issued in TX
Legal business name
PROGRESSIVE PEDIATRIC THERAPY OF TX, INC.
Practice address
2233 Dampton Dr
Plano, TX 75025-2470
Phone
(214) 704-9994
Fax
(972) 208-4825
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mrs. Neneitte Tabani, OTRNPI 1922253699
Title
Director
Phone
(214) 704-9994

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 110058 TX Primary

Addresses

Primary practice location

2233 Dampton Dr
Plano, TX 75025-2470

Mailing address

2233 Dampton Dr
Plano, TX 75025-2470
Phone (214) 704-9994

Other identifiers 1

IdentifierTypeStateIssuer
197275401MedicaidTX

National Provider Directory

National Provider Directory

Locations

2301 Ohio Dr
Ste 137
Plano, TX 75093
Phone (972) 964-0200

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1285872788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 DAMPTON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252470",
            "telephone_number": "214-704-9994",
            "fax_number": "972-208-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 DAMPTON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252470",
            "telephone_number": "214-704-9994",
            "fax_number": "972-208-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PEDIATRIC THERAPY OF TX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "TABANI",
        "authorized_official_first_name": "NENEITTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-704-9994",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "110058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197275401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.