Children'S Spot 4 Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CHILDREN'S SPOT 4 THERAPY, LLC

Practice address

2300 E Rancier Ave Ste 106
Killeen, TX 76543-3450

Phone

(254) 781-3447

Fax

(254) 227-6163

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Clickener, OTRNPI 1740403385

Title

Occupational Therapist

Phone

(254) 781-3447

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Jessica Clickener, OTR/L, M.A.

  • Occupational Therapist
  • Killeen, TX
  • NPI 1740403385
  NPD Authorized official
• Michaela Leigh Lusty, OTR

  • Occupational Therapist
  • Killeen, TX
  • NPI 1104440775
  NPD (past)
• Micaela Monn, OTR

  • Occupational Therapist
  • Killeen, TX
  • NPI 1528685567
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1578041398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WESTWAY DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025151",
            "telephone_number": "361-523-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E RANCIER AVE STE 106",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765433450",
            "telephone_number": "254-781-3447",
            "fax_number": "254-227-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SPOT 4 THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "CLICKENER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "254-781-3447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204183201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ting-Lien Chen
• Kaitlyn Emery Chenoweth
• Cassaundra Rae Ware Cherington, PA-C
• Child Champions ABA Services
• Kianna Childers
• Nasharay Chism, BSN
• Chris Sungoh Cho, L.AC.
• Christine R. Simon, LPC, PLLC
• Twila Christman, LCSW
• Hannah Chudej

• Occupational Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.