Organization Active NPI

Therapy Learning Center, East Texas Clinic

  • Clinic/Center
  • Mount Pleasant, TX
National Provider Identifier
1720444524
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
112571 Issued in TX
Legal business name
THERAPY LEARNING CENTER, EAST TEXAS CLINIC
Practice address
910 Holly Hill LN
Mount Pleasant, TX 75455-5865
Phone
(214) 675-4685
NPI assigned
Jan 8, 2016
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Caroline Henry, OTR
Title
Occupational Therapist
Phone
(214) 675-4685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 112571 TX Primary

Addresses

Primary practice location

910 Holly Hill LN
Mount Pleasant, TX 75455-5865

Mailing address

910 Holly Hill LN
Mount Pleasant, TX 75455-5865
Phone (214) 675-4685

Other identifiers 1

IdentifierTypeStateIssuer
3470676MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1720444524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HOLLY HILL LN",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555865",
            "telephone_number": "214-675-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HOLLY HILL LN",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555865",
            "telephone_number": "214-675-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY LEARNING CENTER, EAST TEXAS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "214-675-4685",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "112571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3470676",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

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