Pearl Pediatric Therapy, LLC.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

115348 Issued in TX

Legal business name

PEARL PEDIATRIC THERAPY, LLC.

Practice address

1206 Ruthven St
Houston, TX 77019-5138

Phone

(713) 299-6114

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Charles Reeves

Title

Owner/Founder

Phone

(713) 299-6114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1538548292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 RUTHVEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195138",
            "telephone_number": "713-299-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 RUTHVEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195138",
            "telephone_number": "713-299-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PEDIATRIC THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "713-299-6114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "115348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.