NPIMap

Organization Active NPI

Lifeline Pediatric Clinics

  • Rehabilitation Clinic/Center
  • Wichita Falls, TX
National Provider Identifier
1598098873
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
666670000 Issued in TX
Legal business name
LIFELINE PEDIATRIC CLINICS
Practice address
3501 Sheppard Access Rd
Wichita Falls, TX 76306-4235
Phone
(940) 851-7837
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Joe Paul Gallo, RNC, WHNP B-C, CST
Title
Adminisrator
Phone
(940) 367-3501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 666670000 TX
Rehabilitation Clinic/Center 261QR0400X 666670000 TX Primary

Addresses

Primary practice location

3501 Sheppard Access Rd
Wichita Falls, TX 76306-4235

Mailing address

3501 Sheppard Access Rd
Wichita Falls, TX 76306-4235
Phone (940) 851-7837

Other names 1

  • Lifesteps Pediatric Therapy Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1598098873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHEPPARD ACCESS RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763064235",
            "telephone_number": "940-851-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHEPPARD ACCESS RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763064235",
            "telephone_number": "940-851-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PEDIATRIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISRATOR",
        "authorized_official_telephone_number": "940-367-3501",
        "authorized_official_credential": "RNC, WHNP B-C, CST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "666670000",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "666670000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifesteps Pediatric Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.