Erik M Hager the Kids Spot Pediatric Rehab

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

554150000-658290000 Issued in TX

Legal business name

ERIK M HAGER THE KIDS SPOT PEDIATRIC REHAB

Practice address

640 S Expressway 77
Suite 3
Raymondville, TX 78580-4240

Phone

(956) 412-6060

Fax

(956) 412-6070

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Erik M Hager, OTRNPI 1548279144

Title

Owner Otr

Phone

(956) 412-6060

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Kids SPOT Pediatric Rehab Doing business as

Locations

Practitioners 1

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

• Erik M Hager, OTR

  • Pediatric Occupational Therapist
  • Raymondville, TX
  • NPI 1548279144
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1295769222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LANE",
            "address_2": "SUITE 13",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-412-6060",
            "fax_number": "956-412-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S EXPRESSWAY 77",
            "address_2": "SUITE 3",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804240",
            "telephone_number": "956-412-6060",
            "fax_number": "956-412-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK M HAGER THE KIDS SPOT PEDIATRIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OTR",
        "authorized_official_telephone_number": "956-412-6060",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "554150000-658290000",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC REHABILITATION",
            "identifier": "0046NN BC/BS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1787095-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kids SPOT Pediatric Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Noette Delarosa, PT
• Dalynn Dewitt, MSHS, RDN/LD
• Dr Americo M Baca PLLC
• Ebony Behavioral Inc.
• Eden Wellness Group, LLC.
• Freedom Physical Therapy, LLC
• Frontier Direct Care Raymondville
• Leticia Garcia-Delapaz, LPC
• Jose Garcia, MS
• Daniel Gomez, P.A.

• Rehabilitation Clinic/Center in Raymondville, TX
• Providers in Raymondville, 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 May 26, 2010; 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.