NPIMap

Organization Active NPI

Magical Kids Therapy, PLLC

  • Occupational Therapist
  • Laredo, TX
National Provider Identifier
1477831782
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100590 Issued in TX
Legal business name
MAGICAL KIDS THERAPY, PLLC
Practice address
3507 Loop 20 Ste 1
Laredo, TX 78043-4743
Phone
(956) 753-6355
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Juan E. Perez
Title
Administrator
Phone
(956) 753-6355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 100590 TX Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 101359 TX

Addresses

Primary practice location

3507 Loop 20 Ste 1
Laredo, TX 78043-4743

Mailing address

3507 Loop 20 Ste 1
Laredo, TX 78043-4743
Phone (956) 753-6355

National Provider Directory

National Provider Directory
Tax ID family
Fantastic Kids Therapy PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1477831782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LOOP 20 STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434743",
            "telephone_number": "956-753-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LOOP 20 STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434743",
            "telephone_number": "956-753-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGICAL KIDS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-753-6355"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100590",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.