Active NPI
Wild and Free Pediatric Therapy PLLC
- Pediatric Physical Therapist
- Katy, TX
National Provider Identifier
1619666344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Belinda Barrett, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912219726 | Medicaid | TX | |
| 1285066688 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Katy, TX
- NPI 1912219726
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.