Healthcare Provider Details

I. General information

NPI: 1609200930
Provider Name (Legal Business Name): ABILITY AND BEYOND, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 05/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 SOUTHLINE RD
CONROE TX
77384-4363
US

IV. Provider business mailing address

14 E WEDGEMERE CT
THE WOODLANDS TX
77381-4188
US

V. Phone/Fax

Practice location:
  • Phone: 832-779-0083
  • Fax: 832-442-4146
Mailing address:
  • Phone: 832-526-8892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number110813
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number110813
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number110813
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number110813
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number110813
License Number StateTX

VIII. Authorized Official

Name: TINA C CASOGLOS-ADAMOPOULOS
Title or Position: DIRECTOR
Credential: OT
Phone: 832-526-8892