NPIMap

Organization Active NPI

Pedi Spot, LLC

  • Rehabilitation Clinic/Center
  • Richardson, TX
National Provider Identifier
1831222405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PEDI SPOT, LLC
Practice address
1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207
Phone
(972) 238-9916
Fax
(972) 664-1791
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Neil E. Casey
Title
Ceo-President
Phone
(214) 383-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207

Mailing address

915 W Exchange Pkwy
Suite 100
Allen, TX 75013-7017
Phone (214) 383-5353

National Provider Directory

National Provider Directory
Tax ID family
Pedi Spot LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831222405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-383-5353",
            "fax_number": "214-383-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N GLENVILLE DR",
            "address_2": "SUITE 800",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817207",
            "telephone_number": "972-238-9916",
            "fax_number": "972-664-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI SPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "214-383-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.