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WILD AND FREE PEDIATRIC THERAPY PLLC NPI 1619666344


NPI Information

NPI: 1619666344
Provider Name: WILD AND FREE PEDIATRIC THERAPY PLLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
25145 STAR LN STE 502
KATY, TX
ZIP 77494
Phone: (346) 387-6739
Get Directions

WILD AND FREE PEDIATRIC THERAPY PLLC is a pediatrics physical therapist in Katy, TX. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. WILD AND FREE PEDIATRIC THERAPY PLLC NPI is 1619666344. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25145 STAR LN STE 502
KATY, TX
ZIP 77494-056
Phone: (346) 387-6739
Fax: (346) 387-6891

The provider's authorized official is Belinda Barrett .
The authorized official title is Co-owner and has the following contact phone number (575) 642-9531.

The enumeration date for this NPI number is 5/8/2023 and was last updated on 4/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsYes
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-Language PathologistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11912219726MEDICAIDTEXAS
21285066688MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.