MEDICARE: EASTER SEALS CENTRAL TEXAS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225XP0200X	Pediatric Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	2251P0200X	Pediatric Physical Therapist
4	171M00000X	Case Manager/Care Coordinator
5	261QD1600X	Developmental Disabilities Clinic/Center
6	252Y00000X	Early Intervention Provider Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0082CM	OTHER	TX	BLUE CROSS PROVIDER GROUP
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013991017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTER SEALS CENTRAL TEXAS INC

Provider Business Mailing Address
First Line	:	633 3RD AVE FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-6733
Country	:	US
Telephone Number	:	512-615-6800
Fax Number	:	512-615-7121

Provider Business Practice Location Address
First Line	:	8001 CENTRE PARK DR STE 130
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5108
Country	:	US
Telephone Number	:	512-615-6800
Fax Number	:	512-615-7121

Authorized Official
Title or Position	:	CFO
Name	:	CAROL KHOURY
Credential	:
Telephone Number	:	512-615-6800

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	10/23/2025

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Directions to “EASTER SEALS CENTRAL TEXAS INC ” Practice Location

Language	Start Address	Practice Location

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