NPIMap

Organization Active NPI

Kids Skills LLC

  • Rehabilitation Clinic/Center
  • Raymondville, TX
National Provider Identifier
1699225151
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KIDS SKILLS LLC
Practice address
100 N US Highway 77
Suite I
Raymondville, TX 78580-4000
Phone
(956) 689-5301
Fax
(956) 689-2004
NPI assigned
Oct 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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

Authorized official

Name
Faith AndersonNPI 1831108448
Title
Administrator
Phone
(956) 689-5301

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

100 N US Highway 77
Suite I
Raymondville, TX 78580-4000

Mailing address

PO Box 92
Raymondville, TX 78580-0092
Phone (956) 689-5301

Other names 1

  • Kids Skills Pediatric Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161227000157 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3072894492 Practice locations: Raymondville, TX
O20231228000886 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072894492 Receives reassigned benefits from 2 practitioners
Practice locations: Raymondville, TX

Outpatient physical therapy / speech pathology certification: CCN 676735

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KIDS SKILLS PEDIATRIC THERAPY CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 12, 2017
Last certification
Apr 12, 2017
Ownership / control type
Proprietary
Facility address
100 N US Highway 77, Suite I
Raymondville, TX 78580

National Provider Directory

National Provider Directory

Locations

100 N Expy 77 Ste I
Raymondville, TX 78580

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": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475971200000",
    "number": "1699225151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785800092",
            "telephone_number": "956-689-5301",
            "fax_number": "956-689-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N US HIGHWAY 77",
            "address_2": "SUITE I",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804000",
            "telephone_number": "956-689-5301",
            "fax_number": "956-689-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2016-10-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-689-5301"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Skills Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raymondville, TX

Sources for this page

Verify at the official NPI Registry.