Organization Active NPI

Center for Pediatric Therapy Inc

  • Pediatric Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1366845711
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1247502 Issued in TX
Legal business name
CENTER FOR PEDIATRIC THERAPY INC
Practice address
431 Nursery Rd Ste A100
The Woodlands, TX 77380-1918
Phone
(281) 292-4800
NPI assigned
Sep 30, 2014
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Mrs. Lea Ann Jordan, OTRNPI 1174646079
Title
President
Phone
(281) 292-4800

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 Physical Therapist 2251P0200X 1247502 TX Primary

Addresses

Primary practice location

431 Nursery Rd Ste A100
The Woodlands, TX 77380-1918

Mailing address

2721 N Logrun Cir
The Woodlands, TX 77380-4010
Phone (281) 292-4800

Other identifiers 1

IdentifierTypeStateIssuer
1200834-05MedicaidTX

National Provider Directory

National Provider Directory

Locations

26620 Interstate 45 N
The Woodlands, TX 77386
Phone (281) 292-4800

Practitioners & affiliated clinicians

Practitioners 5

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1366845711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 N LOGRUN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804010",
            "telephone_number": "281-292-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD STE A100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801918",
            "telephone_number": "281-292-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-292-4800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1247502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200834-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.