G Maes Kids Small Steps Pediatric Therapy LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1148805 Issued in TX

Legal business name

G MAES KIDS SMALL STEPS PEDIATRIC THERAPY LLC

Practice address

1510 Pecan Trace CT
Sugar Land, TX 77479-6224

Phone

(903) 723-7178

Fax

(903) 723-8252

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie S Rotz, PT

Title

Owner

Phone

(903) 723-7178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1750513883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 PECAN TRACE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796224",
            "telephone_number": "903-723-7178",
            "fax_number": "903-723-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 PECAN TRACE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796224",
            "telephone_number": "903-723-7178",
            "fax_number": "903-723-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G MAES KIDS SMALL STEPS PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "ROTZ",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-723-7178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1148805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.