Healthcare Provider Details

I. General information

NPI: 1821132994
Provider Name (Legal Business Name): A PLUS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 03/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 SONTERRA BLVD
JARRELL TX
76537-5003
US

IV. Provider business mailing address

312 SONTERRA BLVD
JARRELL TX
76537-5003
US

V. Phone/Fax

Practice location:
  • Phone: 512-501-1515
  • Fax: 844-831-4567
Mailing address:
  • Phone: 512-501-1515
  • Fax: 844-831-4567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number554290000
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN VILLANUEVA-HILES
Title or Position: PRESIDENT
Credential: M.A., CCC-SLP
Phone: 956-534-1916