Cowboy Up Therapies LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COWBOY UP THERAPIES LLC

Practice address

27902 Mound Rd
Hockley, TX 77447-8295

Phone

(713) 336-3419

NPI assigned

Oct 14, 2021

Last updated

Oct 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Warren Jewart, MS, CCC-SLP

Title

Executive Director and SLP

Phone

(713) 336-3419

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley Warren, SLP-CCC

  • Speech-Language Pathologist
  • Hockley, TX
  • NPI 1326418864
  NPD
• Madelyn Sonny, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Hockley, TX
  • NPI 1790622371
  NPD (past)

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1619630936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27902 MOUND RD",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774478295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27902 MOUND RD",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774478295",
            "telephone_number": "713-336-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWBOY UP THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "JEWART",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AND SLP",
        "authorized_official_telephone_number": "713-336-3419",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY",
            "identifier": "UNKNOWN",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kelley@cowboyuptherapies.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27902 Mound Rd",
            "city": "Hockley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774478295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Cindy Cisneros
• Kayla Clarkson
• Rash-Dat Danmola, PHARM. D.
• Jennifer Davenport, MPH, RDN, LD
• Davies Family Home Health LLC
• Gretchen Marie Deveaux, MA
• Breanna Y Doucet

• Multi-Specialty Clinic/Center in Hockley, TX
• Providers in Hockley, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.