The Pediatric Therapy Center PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE PEDIATRIC THERAPY CENTER PC

Practice address

209 E University Dr
Denton, TX 76209-2011

Phone

(940) 206-9009

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Vincent MullinsNPI 1861421323

Title

Owner

Phone

(940) 206-9009

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Vincent Mullins

  • Physical Therapist
  • Denton, TX
  • NPI 1861421323
  NPD (past) Authorized official
• Kimberly E Freeman, MOT, OTR

  • Occupational Therapist
  • Denton, TX
  • NPI 1285929562
  NPD (past)
• Kelli St. Clair Robertson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Denton, TX
  • NPI 1518267905
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1720014475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762092011",
            "telephone_number": "940-206-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762092011",
            "telephone_number": "940-206-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-206-9009"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067MX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152023101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Thatcher, LPC, NCC
• The Behavior Group, LLC (Behavior Group)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Lake Forest Village)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Denton Village)
• The Foundation for Transformation
• The Strittmatter Center for Wellness, PLLC
• Therapride, PLLC
• Therapy Associates of Texas, LP (Therapy Associates of Texas Denton)
• Therapy With V PLLC
• Peter Jeffrey Theurer, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.