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1811159684 NPI number — KIDSTEPS PEDIATRIC THERAPY CENTER, P. C.

NPI Number: 1811159684
Health Care Provider/Practitioner: KIDSTEPS PEDIATRIC THERAPY CENTER, P. C.

Information about “1811159684” NPI (KIDSTEPS PEDIATRIC THERAPY CENTER, P. C.) exists in 1811159684 in HTML format HTML  |  1811159684 in plain Text format TXT  |  1811159684 in PDF (Portable Document Format) PDF  |  1811159684 in an XML format XML  formats.

NPI Number : 1811159684 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811159684",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KIDSTEPS PEDIATRIC THERAPY CENTER, P. C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1233 OAKCREST DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLEASANTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78064-3949",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-287-4013",
    "MailingAddressFaxNumber": "210-649-4701",
    "FirstLinePracticeLocationAddress": "9595 US HIGHWAY 87 E",
    "SecondLinePracticeLocationAddress": "SUITE 104-105",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78263-6106",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-649-4700",
    "PracticeLocationAddressFaxNumber": "210-649-4701",
    "EnumerationDate": "07/01/2008",
    "LastUpdateDate": "10/07/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JALOWAY",
    "AuthorizedOfficialFirstName": "NORA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OTR",
    "AuthorizedOfficialTelephoneNumber": "210-287-4013",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "1043107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "106873",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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