C of C Pediatrics, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

C OF C PEDIATRICS, LLC

Practice address

6222 W Interstate 10, Suite 200
San Antonio, TX 78201

Phone

(210) 698-9844

Fax

(210) 698-3220

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Charlotte Chandler

Title

Chief Clinical Officer

Phone

(210) 698-9844

Specialties & licenses 3

Addresses

Other names 1

• C of C Pediatrics Doing business as

Tax ID family

C of C Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Children'S S.P.O.T.

  • Rehabilitation Clinic/Center
  • Schertz, TX
  • NPI 1629465943
  NPD tax ID

Locations

Practitioners 5

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

• Shabnam Ghahremani, DPT

  • Physical Therapist
  • Schertz, TX
  • NPI 1023503638
  NPD (past)
• Kayla Homeyer, OTR

  • Occupational Therapist
  • Schertz, TX
  • NPI 1679389365
  NPD (past)
• January S Simmons, MS, CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1508344102
  NPD (past)
• Emma Louise Watson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1932906609
  NPD (past)
• Lillian Ricchuito, COTA/L

  • Occupational Therapy Assistant
  • Sacramento, CA
  • NPI 1093331183
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1407250673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W INTERSTATE 10, SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78201",
            "telephone_number": "210-698-9844",
            "fax_number": "210-698-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 W INTERSTATE 10, SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78201",
            "telephone_number": "210-698-9844",
            "fax_number": "210-698-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 W Stan Schlueter Loop Ste 3",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765496120",
            "country_code": "US",
            "telephone_number": "210-858-9062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Spencer Ln 6224 W Ih 10 Access Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782012019",
            "country_code": "US",
            "telephone_number": "210-858-9062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Windy Meadows Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541543",
            "country_code": "US",
            "telephone_number": "210-858-9062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C OF C PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "210-698-9844"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C of C Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "C of C Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bzma PLLC
• C & C Hearing Clinics, Inc.
• C & C Hearing Clinics, Inc.
• C Beyond: Counseling, Consulting, and Supervision PLLC
• C H Wilkinson Physician Network
• C Scott Horn MD
• C-Pap Plus Medical Supply
• C. Gruesbeck/F.D. Cruz, MD, P.a.
• C.H. Fuller & Associates LLC
• C.V. Surendranat MD, PA.

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.