Organization Active NPI

Childrens Occupational, Physical, Speech Therapy Services, PLLC

  • Pediatric Physical Therapist
  • Austin, TX
National Provider Identifier
1902907868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
CHILDRENS OCCUPATIONAL, PHYSICAL, SPEECH THERAPY SERVICES, PLLC
Practice address
6102 Spicewood Springs Rd
Austin, TX 78759-7818
Phone
(512) 331-1999
Fax
(512) 331-9199
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jennifer Young, PTNPI 1043311905
Title
Physical Therapist, Owner
Phone
(512) 331-1999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X TX Primary

Addresses

Primary practice location

6102 Spicewood Springs Rd
Austin, TX 78759-7818

Mailing address

9907 Grand Oak Dr
Austin, TX 78750-3819
Phone (512) 331-1999

Other names 1

  • Childrens Therapy Services Former legal business name

National Provider Directory

National Provider Directory

Locations

6102 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 331-1999

Practitioners & affiliated clinicians

Practitioners 1

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902907868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 GRAND OAK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503819",
            "telephone_number": "512-331-1999",
            "fax_number": "512-331-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 SPICEWOOD SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597818",
            "telephone_number": "512-331-1999",
            "fax_number": "512-331-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS OCCUPATIONAL, PHYSICAL, SPEECH THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "512-331-1999",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Therapy Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, 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.