NPIMap

Organization Active NPI

Early Bird Pediatric Therapy Clinic, Inc

  • Rehabilitation Clinic/Center
  • El Paso, TX
National Provider Identifier
1639538077
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
115936 Issued in TX
Legal business name
EARLY BIRD PEDIATRIC THERAPY CLINIC, INC
Practice address
2114 N Zaragoza Rd Ste C1
El Paso, TX 79938
Phone
(915) 271-8030
Fax
(915) 257-3051
NPI assigned
Feb 13, 2016
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mr. Michael Williams, MOT, OTR
Title
Occupational Therapist
Phone
(915) 760-1200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Rehabilitation Clinic/Center 261QR0400X 115936 TX Primary
Behavior Analyst 103K00000X NU
Physical Rehabilitation Occupational Therapist 225XP0019X 568780000 TX

Addresses

Primary practice location

2114 N Zaragoza Rd Ste C1
El Paso, TX 79938

Mailing address

2114 N Zaragoza Rd Ste C1
El Paso, TX 79938-8129
Phone (915) 271-8030

Other practice location 1

1514 N Zaragoza Rd
Suite B4
El Paso, TX 79936-8031
Phone (915) 257-5782

Other practice location 2

1514 N Zaragoza Rd
Suite B4
El Paso, TX 79936-8031
Phone (915) 257-5782

National Provider Directory

National Provider Directory

Locations

1351 N Zaragoza Rd
Bldg H
El Paso, TX 79936
Phone (915) 257-5782

1514 N Zaragoza Rd
Ste B4
El Paso, TX 79936
Phone (915) 229-6659

2114 N Zaragoza Rd
Ste C
El Paso, TX 79938
Phone (915) 257-5782

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 116

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.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1639538077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N ZARAGOZA RD STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388129",
            "telephone_number": "915-271-8030",
            "fax_number": "915-257-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N ZARAGOZA RD STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "915-271-8030",
            "fax_number": "915-257-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 N Zaragoza Rd",
            "address_2": "Suite B4",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799368031",
            "country_code": "US",
            "telephone_number": "915-257-5782",
            "fax_number": "915-275-4027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 N Zaragoza Rd",
            "address_2": "Suite B4",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799368031",
            "country_code": "US",
            "telephone_number": "915-257-5782",
            "fax_number": "915-275-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EARLY BIRD PEDIATRIC THERAPY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "915-760-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT, OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "115936",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "568780000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.