Beyond Boundaries Therapy Center, PLLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

BEYOND BOUNDARIES THERAPY CENTER, PLLC

Practice address

704 Longmire Rd Ste 101
Conroe, TX 77304-1850

Phone

(936) 441-2500

Fax

(936) 539-2515

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Stevenson, OTRNPI 1790809986

Title

Owner

Phone

(936) 441-2500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Ann Stevenson, OTR

  • Occupational Therapist
  • Conroe, TX
  • NPI 1790809986
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710996335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LONGMIRE RD STE 101",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041850",
            "telephone_number": "936-441-2500",
            "fax_number": "936-539-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LONGMIRE RD STE 101",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041850",
            "telephone_number": "936-441-2500",
            "fax_number": "936-539-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND BOUNDARIES THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-441-2500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathali Crystelle Demot Bergonio
• Nolan Gustavo Berry
• Adam Mark Bertoch, MS, LMFT, LCDC
• Alfred Glen Berwick, MD
• Beyond Boundaries Therapy Center
• Beyond Your Best Couneling - Bybc
• Madhumitha P Bezwada, CRNP
• Bgse, Inc (Bradley S. Harris, DMD)
• Sabrina Bharia
• Vallari Bhatia

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Conroe, TX
• Providers in Conroe, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.