Amazing Rec Therapy, LLC

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

AMAZING REC THERAPY, LLC

Practice address

4830 Wilson Rd Ste 300-1027
Humble, TX 77396-1971

Phone

(619) 415-9462

NPI assigned

Feb 2, 2020

Organization subpart

No

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

Authorized official

Name

Miss Requel Pace, MS, CTRSNPI 1346871969

Title

Owner/Ceo

Phone

(281) 819-2015

Specialties & licenses 1

Addresses

Other names 1

• Marie Carter Enterprises, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Requel Pace, MS, CTRS

  • Recreation Therapist
  • Humble, TX
  • NPI 1346871969
  NPD Authorized official

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1649801283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300-1027",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961971",
            "telephone_number": "281-819-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300-1027",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961971",
            "telephone_number": "619-415-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING REC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-02",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "REQUEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "281-819-2015",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie Carter Enterprises, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Recreation Therapist in Humble, TX
• Providers in Humble, TX by specialty
• Recreation Therapist in Texas

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