MEDICARE: BABYOLOGY THERAPY CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1316525629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABYOLOGY THERAPY CENTER, PLLC

Provider Business Mailing Address
First Line	:	3422 BUSINESS CENTER DR.
Second Line	:	STE. 106 #105
City	:	PEARLAND
State	:	TX
Zip	:	77584-1360
Country	:	US
Telephone Number	:	713-433-7406
Fax Number	:

Provider Business Practice Location Address
First Line	:	2743 SMITH RANCH RD STE 701
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	713-433-7406
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE MCLEOD
Credential	:	PT
Telephone Number	:	713-433-7406

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	10/08/2021

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