MEDICARE: POLKADOT PEDIATRIC THERAPY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	110282	TX

General Provider Information

NPI Number	:	1760892913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLKADOT PEDIATRIC THERAPY, LLC

Provider Business Mailing Address
First Line	:	800 WILCREST DR
Second Line	:	SUITE 175
City	:	HOUSTON
State	:	TX
Zip	:	77042-6301
Country	:	US
Telephone Number	:	832-752-8739
Fax Number	:	281-652-5521

Provider Business Practice Location Address
First Line	:	800 WILCREST DR
Second Line	:	SUITE 175
City	:	HOUSTON
State	:	TX
Zip	:	77042-6301
Country	:	US
Telephone Number	:	832-752-8739
Fax Number	:	281-652-5521

Authorized Official
Title or Position	:	OWNER
Name	:	JULIE PLOETNER
Credential	:
Telephone Number	:	832-752-8739

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	06/30/2014

Similar Medicare Providers

1487505574 — WELLCARE MEDICAL SUPPLY INC
Practice Location Address:

800 WILCREST DR STE 207
HOUSTON, TX
77042-6301

Practice Phone: 713-505-1264
Practice Fax:

1699901645 — DR. TERESA RENEE WILLIAMS M.D.
Practice Location Address:

800 WILCREST DR , SUITE 204
HOUSTON, TX
77042-6301

Practice Phone: 866-713-3776
Practice Fax: 866-713-3776

1346579018 — DR. MICHAEL ALAN KORIS D.C.
Practice Location Address:

800 WILCREST DR , 103
HOUSTON, TX
77042-6301

Practice Phone: 713-647-2224
Practice Fax:

1225435985 — GOAL, INC.
Practice Location Address:

800 WILCREST DR , SUITE 204
HOUSTON, TX
77042-6301

Practice Phone: 281-501-0530
Practice Fax:

1760343032 — CAPACITY SHARING LCSW TX PLLC
Practice Location Address:

800 WILCREST DR STE 155
HOUSTON, TX
77042-6301

Practice Phone: 347-421-8024
Practice Fax:

1043218845 — DR. PATRICIA DENISE SALVATO M.D.
Practice Location Address:

6301 RICHMOND AVE STE 101
HOUSTON, TX
77057-5905

Practice Phone: 713-961-7100
Practice Fax: 713-961-3085

Directions to “POLKADOT PEDIATRIC THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.