Organization Active NPI

Infinity & Beyond Therapy

  • Speech-Language Pathologist
  • Conroe, TX
National Provider Identifier
1700338258
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110751 Issued in TX
Legal business name
INFINITY & BEYOND THERAPY
Practice address
12412 FM 2854 Rd
Conroe, TX 77304-4426
Phone
(936) 588-0005
Fax
(936) 588-1908
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Danita R Trees, PT
Title
Owner
Phone
(936) 588-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 110751 TX Primary

Addresses

Primary practice location

12412 FM 2854 Rd
Conroe, TX 77304-4426

Mailing address

12412 FM 2854 Rd
Conroe, TX 77304-4426
Phone (936) 588-0005

Other identifiers 1

IdentifierTypeStateIssuer
354335701MedicaidTX

National Provider Directory

National Provider Directory

Locations

12412 FM 2854 Rd
Conroe, TX 77304
Phone (936) 588-0005

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1700338258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 FM 2854 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044426",
            "telephone_number": "936-588-0005",
            "fax_number": "936-588-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 FM 2854 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044426",
            "telephone_number": "936-588-0005",
            "fax_number": "936-588-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY & BEYOND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "TREES",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-588-0005",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354335701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.