Healthcare Provider Details

I. General information

NPI: 1649545716
Provider Name (Legal Business Name): BUMBLEBEE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 E MONTE CRISTO RD
EDINBURG TX
78542-0334
US

IV. Provider business mailing address

815 BARCELONA AVE
PHARR TX
78577-6606
US

V. Phone/Fax

Practice location:
  • Phone: 956-583-4544
  • Fax: 956-583-4545
Mailing address:
  • Phone: 956-583-4544
  • Fax: 956-583-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. SARAI SOLIS
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 956-583-4544