Pediatric Therapy & Activity Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3181 Issued in TX

Legal business name

PEDIATRIC THERAPY & ACTIVITY CENTER

Practice address

1406 N Corinth St
Suite 405
Corinth, TX 76208-5448

Phone

(940) 497-3003

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Cindy McKenna, OTR

Title

Owner

Phone

(940) 497-3003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1710135579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N CORINTH ST",
            "address_2": "SUITE 405",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085448",
            "telephone_number": "940-497-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N CORINTH ST",
            "address_2": "SUITE 405",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085448",
            "telephone_number": "940-497-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY & ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-497-3003",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "3181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Elizabeth Parker, P.T.
• Marissa D Parker, ,MSED, ATC, LAT
• Vidhi Patel, M.D.
• Lesia Zan Paup, BSN RN
• Rachel Renee Pavlov, LPC, LCDC
• Pediatric Therapy & Activity Center
• Lorena Pena, DPT
• Jennifer B Perone, MD
• Petals of Love Home Health Agency LLC
• Philliscita Petty

• Community/Behavioral Health Agency in Corinth, TX
• Providers in Corinth, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.