Active NPI
Ideal Therapies LLC
- Recreation Therapist
- Houston, TX
National Provider Identifier
1750905816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Legal business name
- IDEAL THERAPIES LLC
- Doing business as
- TherapeuticThreads Co.
- Practice address
- 10225 Wortham Blvd Apt 4204
Houston, TX 77065-3009 - Phone
- (601) 566-3824
- NPI assigned
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harriet Deandra Wilson, CTRS
- Title
- President
- Phone
- (832) 952-7566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Low-Risk Neonatal Registered Nurse | 163WN0003X | |||
| Physical Therapist | 225100000X | |||
| Massage Therapist | 225700000X | |||
| Recreation Therapist | 225800000X | Primary | ||
| Music Therapist | 225A00000X | |||
| Occupational Therapist | 225X00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
10225 Wortham Blvd Apt 4204
Houston, TX 77065-3009
Mailing address
13201 Northwest Freeway Fairbanks/Northwest Crossing
Suite 800 #1538
Houston, TX 77040-3399
Phone (832) 952-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750905816 | Medicaid | TX |
Other names 1
- TherapeuticThreads Co.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1750905816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13201 NORTHWEST FREEWAY FAIRBANKS/NORTHWEST CROSSING",
"address_2": "SUITE 800 #1538",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770403399",
"telephone_number": "832-952-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10225 WORTHAM BLVD APT 4204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653009",
"telephone_number": "601-566-3824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL THERAPIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-04",
"last_updated": "2024-10-21",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "HARRIET",
"authorized_official_middle_name": "DEANDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-952-7566",
"authorized_official_credential": "CTRS"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WN0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Neonatal, Low-Risk",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750905816",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TherapeuticThreads Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.