Organization Active NPI

Kidzone Therapy PLLC

  • Occupational Therapy Assistant
  • Howe, TX
National Provider Identifier
1790237758
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
212012 Issued in TX
Legal business name
KIDZONE THERAPY PLLC
Practice address
504 E Young St
Howe, TX 75459-4518
Phone
(903) 744-4421
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Miss Amanda Adams, COTA
Title
Ownertherapist
Phone
(903) 744-4421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224Z00000X 212012 TX Primary
Home Health Agency 251E00000X 212012 TX

Addresses

Primary practice location

504 E Young St
Howe, TX 75459-4518

Mailing address

504 E Young St
Howe, TX 75459-4518
Phone (903) 744-4421

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1790237758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E YOUNG ST",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754594518",
            "telephone_number": "903-744-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E YOUNG ST",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754594518",
            "telephone_number": "903-744-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZONE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNERTHERAPIST",
        "authorized_official_telephone_number": "903-744-4421",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212012",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "212012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.