Organization Active NPI

R.O.C.K Ride on Center for Kids

  • Physical Therapist
  • Georgetown, TX
National Provider Identifier
1629495205
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
642120000 Issued in TX
Legal business name
R.O.C.K RIDE ON CENTER FOR KIDS
Practice address
2050 Rockride Lane
Georgetown, TX 78627
Phone
(512) 930-7625
Fax
(512) 863-9231
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Mrs. Nancy Ride on Center Krenck
Title
C.E.O
Phone
(512) 930-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 642120000 TX Primary

Addresses

Primary practice location

2050 Rockride Lane
Georgetown, TX 78627

Mailing address

PO Box 2422
Georgetown, TX 78627-2422
Phone (512) 930-7625

National Provider Directory

National Provider Directory

Locations

2050 Rockride Ln
Georgetown, TX 78626
Phone (512) 508-7625

Practitioners & affiliated clinicians

Practitioners 3

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": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1629495205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2422",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272422",
            "telephone_number": "512-930-7625",
            "fax_number": "512-863-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ROCKRIDE LANE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78627",
            "telephone_number": "512-930-7625",
            "fax_number": "512-863-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.O.C.K RIDE ON CENTER FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "KRENCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "RIDE ON CENTER",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "512-930-7625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "642120000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.