Pediatric Therapy & Activity Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103499 Issued in TX

Legal business name

PEDIATRIC THERAPY & ACTIVITY CENTER

Practice address

2606 Brandi Lane
Corinth, TX 76208

Phone

(940) 497-3003

Fax

(940) 497-9153

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Cindy McKenna, OTR

Title

Owner

Phone

(940) 497-3003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia A McKenna, OTR

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1154490662
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902024912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N. CORINTH ST",
            "address_2": "SUITE 405",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-497-3003",
            "fax_number": "940-497-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 BRANDI LANE",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-497-3003",
            "fax_number": "940-497-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY & ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-497-3003",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "103499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa D Parker, ,MSED, ATC, LAT
• Vidhi Patel, M.D.
• Lesia Zan Paup, BSN RN
• Rachel Renee Pavlov, LPC, LCDC
• Pediatric Therapy & Activity Center
• Lorena Pena, DPT
• Jennifer B Perone, MD
• Petals of Love Home Health Agency LLC
• Philliscita Petty
• Renee Susann Pfeffer, M.A., LPC INTERN

• Occupational Therapist in Corinth, TX
• Providers in Corinth, TX by specialty
• Occupational Therapist in Texas

• 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.