Organization Active NPI

Physical Therapy-Pediatric Therapy Associates PLLC

  • Pediatric Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1386337699
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PHYSICAL THERAPY-PEDIATRIC THERAPY ASSOCIATES PLLC
Practice address
1001 Louisiana Ave Ste 402
Corpus Christi, TX 78404-2856
Phone
(361) 853-0488
Fax
(361) 853-0489
NPI assigned
Jun 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Ms. Molly Skiles Dubow, P.T.NPI 1326217944
Title
Physical Therapist
Phone
(813) 493-5633

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

1001 Louisiana Ave Ste 402
Corpus Christi, TX 78404-2856

Mailing address

PO Box 2253
Corpus Christi, TX 78403-2253
Phone (813) 493-5633

Other practice location 1

108 S University Blvd
Kingsville, TX 78363-4350
Phone (361) 853-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231127001988 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092163345 Receives reassigned benefits from 3 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

108 S University Blvd
Kingsville, TX 78363
Phone (361) 853-0488

Practitioners & affiliated clinicians

Practitioners 3

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": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1386337699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2253",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784032253",
            "telephone_number": "813-493-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042856",
            "telephone_number": "361-853-0488",
            "fax_number": "361-853-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S University Blvd",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783634350",
            "country_code": "US",
            "telephone_number": "361-853-0488",
            "fax_number": "361-853-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY-PEDIATRIC THERAPY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "DUBOW",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "SKILES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "813-493-5633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.