Organization Active NPI

Wiggly Kidlets

Doing business as New York Pediatric Rehab

  • Speech-Language Assistant
  • McAllen, TX
National Provider Identifier
1972878825
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
33708 Issued in TX
Legal business name
WIGGLY KIDLETS
Doing business as
New York Pediatric Rehab
Practice address
601 Trenton Rd
Ste D169
McAllen, TX 78504-2107
Phone
(956) 371-0817
NPI assigned
Mar 12, 2012
Last updated
Mar 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Mrs. Daffney Veals Obare, SLPA
Title
Assistant Director
Phone
(956) 371-0817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X 33708 TX Primary

Addresses

Primary practice location

601 Trenton Rd
Ste D169
McAllen, TX 78504-2107

Mailing address

601 Trenton Rd
Ste D169
McAllen, TX 78504-2107
Phone (956) 371-0817

Other names 1

  • New York Pediatric Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New York Pediatric Rehab4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1972878825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TRENTON RD",
            "address_2": "STE D169",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042107",
            "telephone_number": "956-371-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TRENTON RD",
            "address_2": "STE D169",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042107",
            "telephone_number": "956-371-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGLY KIDLETS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "OBARE",
        "authorized_official_first_name": "DAFFNEY",
        "authorized_official_middle_name": "VEALS",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "956-371-0817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Pediatric Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.