Space Therapy Gym LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPACE THERAPY GYM LLC

Practice address

805 Rhode PL Ste 350
Houston, TX 77019-2717

Phone

(713) 252-8482

Fax

(713) 522-8880

NPI assigned

Feb 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Lynn Reed, MOTR/LNPI 1033521547

Title

Co-Owner

Phone

(713) 252-8482

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Michelle Lynn Reed, OTR/L

  • Pediatric Occupational Therapist
  • Houston, TX
  • NPI 1033521547
  NPD (past) Authorized official
• Regina Drummond, OTD

  • Occupational Therapist
  • Houston, TX
  • NPI 1376039727
  NPD (past)
• Rachel Greenberg-Schneider, MS, CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1740628270
  NPD (past)
• Leila Reed, OTR

  • Occupational Therapist
  • Mooresville, NC
  • NPI 1568695211
  NPD (past)

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550361600000",
    "number": "1336605153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 RHODE PL STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192717",
            "telephone_number": "713-252-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RHODE PL STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192717",
            "telephone_number": "713-252-8482",
            "fax_number": "713-522-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE THERAPY GYM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "713-252-8482",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Space City Medicab
• Space City Medical
• Space City Radiology PLLC
• Space City Senior Care, LLC
• Space City Smiles
• Spade Chiropractic LLC
• Spade Chiropractic Physical Medicine and Diagnostic Clinic
• Spade Chriporactic Physical Medicine & Diagnostic Clinic
• Melissa Spadone
• Marcus Spady, MD, MS

• Behavior Analyst in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.