NPIMap

Organization Active NPI

Physical and Academic Learning Services, PLLC

  • Occupational Therapist
  • Alleyton, TX
National Provider Identifier
1548550593
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
553430000 Issued in TX
Legal business name
PHYSICAL AND ACADEMIC LEARNING SERVICES, PLLC
Practice address
1370 Frelsburg Rd
Alleyton, TX 78935-2037
Phone
(979) 732-7021
Fax
(979) 733-9939
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Vickie Maertz, OTR/OTDNPI 1194940213
Title
Owner/Therapist
Phone
(979) 732-7021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 553430000 TX Primary

Addresses

Primary practice location

1370 Frelsburg Rd
Alleyton, TX 78935-2037

Mailing address

1370 Frelsburg Rd
Alleyton, TX 78935-2037
Phone (979) 732-7021

Other identifiers 1

IdentifierTypeStateIssuer
1797078-01MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1548550593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FRELSBURG RD",
            "city": "ALLEYTON",
            "state": "TX",
            "postal_code": "789352037",
            "telephone_number": "979-732-7021",
            "fax_number": "979-733-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FRELSBURG RD",
            "city": "ALLEYTON",
            "state": "TX",
            "postal_code": "789352037",
            "telephone_number": "979-732-7021",
            "fax_number": "979-733-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL AND ACADEMIC LEARNING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "MAERTZ",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "979-732-7021",
        "authorized_official_credential": "OTR/OTD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "553430000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797078-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alleyton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.