Organization Active NPI

Wild and Free Pediatric Therapy PLLC

  • Pediatric Physical Therapist
  • Katy, TX
National Provider Identifier
1619666344
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
WILD AND FREE PEDIATRIC THERAPY PLLC
Practice address
25145 Star LN Ste 502
Katy, TX 77494-7056
Phone
(346) 387-6739
Fax
(346) 387-6891
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Belinda Barrett, PT, DPTNPI 1912219726
Title
Co-Owner
Phone
(575) 642-9531

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

25145 Star LN Ste 502
Katy, TX 77494-7056

Mailing address

25145 Star LN Ste 502
Katy, TX 77494-7056
Phone (346) 387-6739

Other identifiers 2

IdentifierTypeStateIssuer
1912219726MedicaidTX
1285066688MedicaidAK

National Provider Directory

National Provider Directory

Locations

25145 Star Ln
Katy, TX 77494
Phone (346) 440-1800

25145 Star Ln
Ste 502
Katy, TX 77494
Phone (346) 387-6739

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": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1619666344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25145 STAR LN STE 502",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947056",
            "telephone_number": "346-387-6739",
            "fax_number": "346-387-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25145 STAR LN STE 502",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947056",
            "telephone_number": "346-387-6739",
            "fax_number": "346-387-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD AND FREE PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "575-642-9531",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "1912219726",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285066688",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.