NPIMap

Organization Active NPI

Maffeo Pediatric Therapy Management, LLC

Doing business as Kidz Therapeze Round Rock

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1821383639
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1142636 Issued in TX
Legal business name
MAFFEO PEDIATRIC THERAPY MANAGEMENT, LLC
Doing business as
Kidz Therapeze Round Rock
Practice address
555 Round Rock West Dr # D
Ste 160
Round Rock, TX 78681-5052
Phone
(512) 244-6623
Fax
(512) 244-7758
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Lynne D Maffeo, P.T.NPI 1417192105
Title
President
Phone
(512) 244-6623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1142636 TX Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

555 Round Rock West Dr # D
Ste 160
Round Rock, TX 78681-5052

Mailing address

555 Round Rock West Dr # D
Ste 160
Round Rock, TX 78681-5052
Phone (512) 244-6623

Other names 1

  • Kidz Therapeze Round Rock Doing business as

National Provider Directory

National Provider Directory

Locations

555 Round Rock West Dr
#160D
Round Rock, TX 78681
Phone (512) 244-6623

555 Round Rock West Dr
Ste 160
Round Rock, TX 78681
Phone (512) 244-6623

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1821383639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUND ROCK WEST DR # D",
            "address_2": "STE 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815052",
            "telephone_number": "512-244-6623",
            "fax_number": "512-244-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUND ROCK WEST DR # D",
            "address_2": "STE 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815052",
            "telephone_number": "512-244-6623",
            "fax_number": "512-244-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAFFEO PEDIATRIC THERAPY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "MAFFEO",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-244-6623",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1142636",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Therapeze Round Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.