NPIMap

Organization Active NPI

Autistic Treatment Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Dallas, TX
National Provider Identifier
1922286178
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
AUTISTIC TREATMENT CENTER, INC.
Practice address
10610 Metric Dr
101
Dallas, TX 75243-5541
Phone
(214) 221-4405
Fax
(214) 221-4463
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Anna Hundley
Title
Executive Director
Phone
(972) 644-2076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

10610 Metric Dr
101
Dallas, TX 75243-5541

Mailing address

10503 Metric Dr
Dallas, TX 75243-5514
Phone (972) 644-2076

Other identifiers 2

IdentifierTypeStateIssuer
556500000OtherTXEPOTC
204108901MedicaidTX

Other names 1

  • Autism Treatment Center Rehabilitation Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000525 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4880617802 Practice locations: Dallas, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Autism Treatment Center Rehabilitation Agency11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11651 Plano Rd
Ste 100
Dallas, TX 75243

10610 Metric Dr
Ste 101
Dallas, TX 75243
Phone (214) 221-4405

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1922286178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 METRIC DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435514",
            "telephone_number": "972-644-2076",
            "fax_number": "972-644-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 METRIC DR",
            "address_2": "101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435541",
            "telephone_number": "214-221-4405",
            "fax_number": "214-221-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISTIC TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "HUNDLEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-644-2076"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPOTC",
            "identifier": "556500000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204108901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Treatment Center Rehabilitation Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.