Runnin WJ Therapeutic Center Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RUNNIN WJ THERAPEUTIC CENTER INC

Practice address

4802 S Kings Hwy
Texarkana, TX 75501-8664

Phone

(903) 838-3223

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Sam Clem

Title

Owner

Phone

(903) 838-3223

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1407000607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 S KINGS HWY",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755018664",
            "telephone_number": "903-838-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 S KINGS HWY",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755018664",
            "telephone_number": "903-838-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNIN WJ THERAPEUTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "CLEM",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-838-3223"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Ross, FNP-C
• Glen A Rountree, MD
• Terri A Rowe, LMSW
• Royael Health Care Services, Inc.
• Morgen Melinda Rozenboom, M.D.
• Rush Family Health Care, PA
• Ronald David Rush, MD
• April Renee Russell, CLD
• Garreth Glen Russell, PHARMD
• Odia O'Dela Russette, FNP

• Occupational Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.