The Kids Spot Pediatric Rehab

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102914 Issued in TX

Legal business name

THE KIDS SPOT PEDIATRIC REHAB

Practice address

3675 Boca Chica Blvd
Suite B
Brownsville, TX 78521-4483

Phone

(956) 546-7800

Fax

(956) 546-7803

NPI assigned

May 10, 2010

Last updated

May 10, 2010By 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

Alma Leticia Villareal

Title

Office Admin

Phone

(956) 412-6060

Specialties & licenses 13

Addresses

Tax ID family

Erik M Hager2 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.

• Erik M Hager

  dba the kids spot pediatric rehab

  • Pediatric Occupational Therapist
  • Brownsville, TX
  • NPI 1396076444
  NPD tax ID

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1427376813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN",
            "address_2": "SUITE 13",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503226",
            "telephone_number": "956-412-6060",
            "fax_number": "956-412-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214483",
            "telephone_number": "956-546-7800",
            "fax_number": "956-546-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS SPOT PEDIATRIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "VILLAREAL",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "LETICIA",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "956-412-6060"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33228",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35147",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33536",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33024",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35290",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34296",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33478",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34688",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102914",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102304",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103454",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17791",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Prediabetes
• The Childrens Doctor (Same)
• The Clinic at the Port
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Brownsville)
• The Jaymes Center for Rehabilitation, LLC
• The Medic Primary Care Clinic PLLC
• The Olives Valley Health Care LLC
• The Port Occupational & Medical Clinic LLC
• The Serrata Counseling Group, PLLC
• The Speech Coach, PLLC

• Speech-Language Pathologist in Brownsville, TX
• Providers in Brownsville, 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 May 10, 2010; 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.