Functional Rehabilitation Pediatrics, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1187778 Issued in TX

Legal business name

FUNCTIONAL REHABILITATION PEDIATRICS, PLLC

Practice address

169 County Road 1037
Center, TX 75935-7936

Phone

(936) 591-4281

NPI assigned

Dec 30, 2016

Last updated

Dec 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miranda Shea Williams, DPTNPI 1336685718

Title

Owner

Phone

(936) 591-4281

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Miranda Shea Williams, DPT

  • Physical Therapist
  • Center, TX
  • NPI 1336685718
  NPD (past) Authorized official

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1992240956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 COUNTY ROAD 1037",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759357936",
            "telephone_number": "936-591-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 COUNTY ROAD 1037",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759357936",
            "telephone_number": "936-591-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL REHABILITATION PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-591-4281",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1187778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1187778",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fpacp Timpson LLC (Focused Care of Center)
• Carol Frame
• Shelley Marie Frame
• Michelle Franks, CRNA
• Johnny Ray Fuller, LVN
• Functional Rehabilitation PLLC
• Gaddy Enterprises, Inc (Gaddy's Medical Equipment & Supplies)
• Wilda Dean Gardner
• Kyishia Garrett
• Madeline Leblanc Gill, LPC

• Physical Therapist in Center, TX
• Providers in Center, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.