Creative Motion Pediatric Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CREATIVE MOTION PEDIATRIC THERAPY

Practice address

5907 W Marshall Ave
Longview, TX 75604-6011

Phone

(903) 759-6500

Fax

(866) 916-2178

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Maria Valencia, LPC

Title

Owner

Phone

(903) 759-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1679010631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 W MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046011",
            "telephone_number": "903-759-6500",
            "fax_number": "866-916-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 W MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046011",
            "telephone_number": "903-759-6500",
            "fax_number": "866-916-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MOTION PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-759-6500",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Crabtree, LPC
• Craig Furniture and Appliances Inc (Manlys Furniture and Appliances)
• Angela Dawn Craver, H.I.S.
• Grace Florence Crawford, PTA
• Amy Berlynne Creamer, MA, NCC, LPC
• Creative Motion, Inc
• Crestcare Nursing & Rehabilitation Center (Eden Specialty Care)
• CRH of Longview LLC (Longview Rehabilitation Hospital)
• Hannah Crisp, OT
• Christina Lea Croley, FNP-C

• Physical Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.