Organization Active NPI

Therapeutic Intervention for Kids, Inc

  • Developmental Disabilities Clinic/Center
  • San Antonio, TX
National Provider Identifier
1356566764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
1021186 Issued in TX
Legal business name
THERAPEUTIC INTERVENTION FOR KIDS, INC
Practice address
3355 Cherry Ridge St
#209
San Antonio, TX 78230-4815
Phone
(210) 366-1575
Fax
(210) 366-1883
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kristina Lou Murray-Inclan, PTNPI 1588600985
Title
Ceo
Phone
(210) 366-1575

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
Developmental Disabilities Clinic/Center 261QD1600X 1021186 TX Primary

Addresses

Primary practice location

3355 Cherry Ridge St
#209
San Antonio, TX 78230-4815

Mailing address

3355 Cherry Ridge St
#209
San Antonio, TX 78230-4815
Phone (210) 366-1575

National Provider Directory

National Provider Directory

Locations

3355 Cherry Ridge Dr
Ste 209
San Antonio, TX 78230
Phone (210) 366-1575

Practitioners & affiliated clinicians

Practitioners 5

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356566764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 CHERRY RIDGE ST",
            "address_2": "#209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304815",
            "telephone_number": "210-366-1575",
            "fax_number": "210-366-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 CHERRY RIDGE ST",
            "address_2": "#209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304815",
            "telephone_number": "210-366-1575",
            "fax_number": "210-366-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INTERVENTION FOR KIDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY-INCLAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-366-1575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "TX",
            "license": "1021186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.