Palacios Pediatric Therapy Clinic, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PALACIOS PEDIATRIC THERAPY CLINIC, LLC

Practice address

1010 1St St
Palacios, TX 77465-4408

Phone

(770) 218-2300

NPI assigned

Jul 9, 2012

Last updated

Jul 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Schulman, MS, OTR/LNPI 1174763056

Title

Owner

Phone

(770) 218-2300

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Donna Schulman, OTR/L

  • Pediatric Occupational Therapist
  • Kennesaw, GA
  • NPI 1174763056
  Authorized official Same address or phone

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1427313279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LUCAS AVE",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774654720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1ST ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774654408",
            "telephone_number": "770-218-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACIOS PEDIATRIC THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-218-2300",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palacios Community Medical Center
• Palacios Community Medical Center (Mid Coast Medical Clinic-Palacios)
• Palacios Healthcare Center
• Palacios Independent School District
• Palacios Medical Clinic
• Carolyn Ruth Price, OTA
• Raphael J.Emanuel MD PHD
• Ricca J Riojas
• Katherine Ritter, FNP-BC
• Leigh Ann Roemer, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.