Mind Over Matter Pediatric Therapy Center, LLC

Organization Active NPI Physical Medicine & Rehabilitation Physician · Zapata, TX

NPI 1962097337 · NPPES record last updated Jun 20, 2022

Key facts

NPI
1962097337
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
Legal business name
MIND OVER MATTER PEDIATRIC THERAPY CENTER, LLC
Practice address
509 N US Highway 83 # 103
Zapata, TX 78076-4132
Phone
(956) 750-3585
Fax
(956) 253-4882
NPI assigned
Mar 7, 2021
Organization subpart
No

Authorized official

Name
Ms. Monica Lee West, COTA
Title
Owner
Phone
(956) 500-0728

Corporate family (same tax ID) 1

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

Practitioners 4

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

National Provider Directory

Tax ID family
Mind Over Matter Pediatric Therap (2 organizations share this tax ID)

Locations

509 N US Highway 83
#103
Zapata, TX 78076
Phone (956) 750-3585

509 N US Highway 83
Ste 103
Zapata, TX 78076
Phone (956) 750-3585

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208100000X Yes
Pediatric Rehabilitation Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2081P0010X
Occupational Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
224Z00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Physical Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
225200000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
2355S0801X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

509 N US Highway 83 # 103
Zapata, TX 78076-4132

Mailing address

109 E 27TH St
Zapata, TX 78076-4500
Phone (956) 500-0728

Other providers in Zapata, TX

All providers in Zapata, TX · Physical Medicine & Rehabilitation Physician in Texas

Sources for this page

Verify at the official NPI Registry.