NPIMap

Organization Active NPI

Pediatric Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Lubbock, TX
National Provider Identifier
1427696178
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PEDIATRIC THERAPY, INC.
Practice address
4601 66TH St Ste D
Lubbock, TX 79414-4875
Phone
(866) 832-1708
Fax
(888) 798-4391
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
James M Clark
Title
Vice President of Operarations
Phone
(866) 832-1708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4601 66TH St Ste D
Lubbock, TX 79414-4875

Mailing address

9011 Mountain Ridge Dr Ste 130
Austin, TX 78759-7394
Phone (855) 268-4098

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Therapy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1427696178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 MOUNTAIN RIDGE DR STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597394",
            "telephone_number": "855-268-4098",
            "fax_number": "866-311-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 66TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144875",
            "telephone_number": "866-832-1708",
            "fax_number": "888-798-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERARATIONS",
        "authorized_official_telephone_number": "866-832-1708"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.