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NPI Code Detail

MEDICARE: ENABLE RESTORE ADAPT THERAPEUTIC LLC

MEDICARE: ENABLE RESTORE ADAPT THERAPEUTIC LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1588520100
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENABLE RESTORE ADAPT THERAPEUTIC LLC
Provider Business Mailing Address
First Line : P.O. BOX 924661
Second Line :
City : HOUSTON
State : TX
Zip : 77292
Country : US
Telephone Number : 832-724-5907
Fax Number :
Provider Business Practice Location Address
First Line : 3926 HOLDER FOREST DR.
Second Line :
City : HOUSTON,TX
State : TX
Zip : 77088
Country : US
Telephone Number : 832-724-5907
Fax Number : 832-724-5907
Authorized Official
Title or Position : MANAGING MEMBER/MANAGING MEMBER
Name : DR. KIRK RICARDO COWARDBEY
Credential : OTD,OTR/L,CLT,CSWS
Telephone Number : 832-724-5907
Provider Enumeration Date : 12/27/2025
Last Update Date : 12/27/2025

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Directions to “ENABLE RESTORE ADAPT THERAPEUTIC LLC ” Practice Location

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